WHY REDSENSEall about redsense blood loss detection

Avoid unnecessary risk by saving cost in healthcare 
Patients trust and safety

Patient trust and safety  

VND is one of the most serious complications in hemodialysis which can have tragic results if the dislodgement is not recognized immediately. Prompt recognition and response may prevent VND from developing into a disaster for everyone involved. Utilizing all resources available, from procedures to monitoring the access site by a blood loss detector such as Redsense, will provide a much needed security. 1

 

Patients with VND, mean:423 750

Ahlmén 2 (5/2880)
RPA* 3 (1/156/4/0,05)

 

0.1736%
0.1282%

 

487 500
360 000

 

Patients with serious VND, mean:3 357

Veterans Affairs 4 (1/62500)
Sandroni 5 (1/126718)

 

0.0016%
0.0008% 

 

4 493
2 216

 

Patient deaths due to VND, mean: 650

Sandroni 5 (1/3*126718)
Gambro 6 (1/500000)

 

0.0002%
0.0002% 
739
562

* Needle Dislodgement

redsense trust

 

 


Avoid unnecessary risk by saving cost in healthcare
Healthcare savings

Healthcare savings

Reduce the risk and reduce costs, the use of Redsense can save millions.

Cost savings, the use of Redsense can save millions:

Estimating the cost of Redsense 2.7 € / 3.35 $ per treatment (3 patients per device ).

By using Redsense on 20% of the HD patients:
Healthcare savings close to 200 000 000 € can be made annually.

 

Cost for a VND incident: 1

–VND minor:
Limiting intervention to blood transfusion and extra EPO dose which all can be carried out at the dialysis clinic and an extra day for observation:

Blood transfusion
Extra ESA
Extra day in hospital
970 €
745 €
2 980 €
Total:
4 695

 

Based on Ahlmén study about 40% of the VND’s need blood transfusion and two extra days in the hospital 9
   

–Serious event with hospitalization:

Regular hospitalization for blood
loss anemia (4 days)
1700 000 €
1 day of anemia therapy includes
ESA, blood transfusion, iron and
possibly plasma expanders or
albumin
42 500 € / day 
 Emergency Room (ER)  22 350 € or more
Intensive Care Unit (ICU),
hospitalization (1 day)


14 900 € - 29 800 €


Thus cost range from

170 000 € to
223 500 € and up

 

Example: A patient in the ER for 4 h received oxygen at 2L/min, blood drawn for routine panel, an abdominal CT scan; the bill was 24 700 €

 

Literature list

Review includes the following publications:

  1. Hurst J, A Costly Complication: Venous Needle Dislodgement. http://www.renalbusiness.com/
  2. Ahlmén J, Gydell KH, Hadimeri H, Hernandez I, Rogland B, Strömbom U (2008) A new safety device for hemodialysis Hemodialysis International 12 (2), Page 264–267.
  3. Polaschegg, H-D. EDTNA/ERCA Conference, Prague, September 2008, Seminar, “Venous needle dislodgement: A safety issue. Possible methods for detection and prevention of major blood loss” Page 40.
  4. Patients Safety Advisory; Veteran Health Administration Warning System; Published by VA Central Office; October 21, 2008 http://www.patientsafety.gov/alerts.html#2010.
  5. Sandroni, S, Shockerman, T, Hayes-Light, K, Catastrophic Hemorrhage from Venous Needle Dislodgement during Hemodialysis, Journal of the American Society of Nephrology, volume 9, November 2008, Abstract issue.
  6. Derik White, Gambro; Oral presentation EDTNA Congress Florence 2007 oral presentation.