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. 2024 Feb 1;69:102450. doi: 10.1016/j.eclinm.2024.102450

Table 1.

Cost-effectiveness of interventions to treat or prevent bronchiolitis that may be used in the ICU.

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.

a

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.

b

Data extracted from systematic reviews and/or meta-analyses.