Tugas :

Nama : Andi Tenri Ummu

Stambuk : 0003.10.14.2020
Kelas : AKK 1
No. Tindakan Biaya
1 Prosedur Pencegahan ( perpatient )
Intermittent pneumatic compression of the legs 33

Leg scanning with iodine -125 labelled 85

fibrinogen
Intravenous administration of dextran 103
Subcutaneous administration of heparin in low 20
doses
2 Prosedur Pengobatan
Venography 88
Lung scanning 117

No. Tindakan Biaya

3 Full – dose anticoagulant therapy
( per patient )
Hospitalization cost ( for 7 extra days at $ 2030
290/day
Intravenous Heparin therapy 30
Laboratory tests 104
Warfarin Therapy 10
Physician fees 35
Total 2209

N0 Tindakan Suspek
1 Pendekatan sekarang ( no program )
N0. of patients with clinical suspected deep vein 40
N0. of patients with clinical suspected 30
pulmonary embolism
N0. of positive venograms 15
N0. of positive lung scans 20
N0. of Deaths 8
N0 Tindakan Suspek
2. Pemberian Heparin Subcutan
N0. of patient with suspected deep vein 25
thrombosis
N0. of patient with suspected pulmonary 25
embolism
N0. of positive venograms 15
N0. of positive lung scans 15
Death 1

N0 Tindakan Suspek
3 Pemberian Dextran , intravena
N0. of patient with suspected deep vein 25
thrombosis
N0. of patient with suspected pulmonary 20
embolism
N0. of positive venograms 15
N0. of positive lung scans 10
Death 1

N0 Tindakan Suspek
4 Kompressi udara berselang seling pada
kaki
Outcomes as for subcutaneous administration 33
of heparin , except that number of deaths not
known . How ever , it is known that the approach
is effective in preventing deep vein thrombosis

N0 Tindakan Suspek
5. Scan kaki
N0. of positive scans 135
N0. of patients with suspected pulmonary 25
embolism
N0. of positive venograms 15
N0. of positive lung scans 15
Deaths (not known , although it is thought that leg
scanning is effective in preventing fatal pulmonary
embolism)
 STRATEGI DATA BIAYA TAMBAHAN
BIAYA/ MATI BIAYA TERSELAMATKAN C/E RATIO
1000 (S) /1000 COST/ LIFE
SAVED

NO PROGRAM 85.000 8 - - -
INTRAVENOUS 163.000 1 55.000 7 7.900
DEXTRAN
LOW DOSE 92.000 1 -40.000 7 ≤0
SUBCUTAN
HEPARIN
INTEMITTERT 84.000 2 -27.000 5 8
PNEUMATIC
COMPARISON
OFLEGS
LEG 170.000 3 270.000 4 54.000
SCANNING
WITH 125
LFIBRINOGEN

1. No Program :
- Venograf : 40 x $ 88 = $ 3.520
- Lung Scanning : 30 x $ 117 = $ 3.519
70  35 Positiv
Therapy 35 x $ 2209 = $ 77.315
Total = $ 3.520 + $ 3.519+$ 77.315= $ 84.354 $ 85.000
2. Intravenous Dextran :
Dextran 1000 x $ 103 = $ 103 000
Venografi : 20 x $ 88 = $ 1.760
Lung Scanning : 25 x $ 117 = $ 2.925
Pengobatan = 45  25 x $ 2209 = $ 55.225
= $ 162.910 $ 163.000
3. Low –dose subcutaneous heparin
Heparin  1000 x $ 20 = $ 20 000
Venografi 25x $ 88 =$ 2.200
Lung Scanning 25 x $ 117 =$ 2.925
Pos 30 x $ 2209 = $ 66.270
Total = $ 91.395 $92.000

4. Intermittent compression of the legs

Intermittent Compression 1000 x $ 33 = $ 33.000

Venography 33x $ 88 = $ 2.904
Lung Scanning 33 x $ 117 = $ 3.861
Positive 20 x $ 2209 = $ 44.180
Total = $ 83.945 $ 84.000
5. Leg Scanning

- Leg scan 1000 x $ 85 = $ 85 000

- Venography 135 x $ 88 = $ 11.880
- Lung Scanning 55 x $ 117 = $ 6.435
- Full Dise Therapy 30 x $ 2209 = $ 66.270
Total = $ 169.858  $ 170.000

Yang paling efektif dari kelima di atas adala

ntermittent compression of the legs dimana angka untuk
leg scanning $ 84.000,