Table 1.
Intervention/[reference] | Country | Outcome | Cost-effectivenessa proven in: |
|
---|---|---|---|---|
Hospital setting | ICU setting | |||
Treatment of bronchiolitis | ||||
CPAP/49, 50, 51,74 | Netherlands, France, Colombia | ICU length of stay and duration of respiratory support, QALY | no | yes |
Selective use of nebulised β2-agonists/70 | Colombia | Hospital and ICU admission and length of stay | yes | yes |
Hypertonic saline/71, 72, 73 | Many countriesb | Hospital admission or length of stay, QALY | yes | no |
Pronation | n.a. | n.a. | n.a. | n.a. |
Surfactant | n.a. | n.a. | n.a. | n.a. |
Prevention of nosocomial outbreaks | ||||
Containment/68 | USA | Incidence density | yes | yes |
Palivizumab/69 | UAE | Duration of O2 therapy | yes | no |
Abbreviations: CPAP: continuous positive airway pressure; n.a. not available; ICU: intensive care unit; QALY: quality-adjusted life year; UAE: United Arab Emirates; UK: United Kingdom; USA: United States of America.
Cost-effectiveness was proven as dominant scenario versus comparators (i.e. the intervention results in better health effects and cost savings) in the hospital or specifically in the ICU setting; when the cost-effectiveness was proven in the hospital setting (e.g.: reduced hospital admission or length of stay), the cost of ICU admission was also considered and had a relevant weight in the outcome.52 More details in the text.
Data extracted from systematic reviews and/or meta-analyses.