Table 1.
Parameters | Baseline estimate | Variation (SEM) | Distribution | Source | Level of evidence | |
Infection-related events: | ||||||
Probability of CR-BSI | Modeled in stepwise incrementsa | Beta | Database | 1 | ||
RR mortality (CR-BSI) | 1.06 | 0.18 | Log normal | [1] | 2 | |
Extra days in the ICU | 2.41 | 0.83 | Log normal | [22] | 2 | |
Extra days on hospital ward | 7.54 | 1.81 | Log normal | |||
Effectiveness A-CVCs (RR): | ||||||
SPC | 0.54 | 0.62 | Log transformed normal | [21] | 1 + | |
CH/SSD (ext) | 0.66 | 0.17 | ||||
CH/SSD (int/ext) | 0.70 | 0.43 | ||||
MR | 0.39 | 0.43 | ||||
Baseline probabilities of mortality: | ||||||
ICU mortality | 0.098 | 0.002 | Beta | Dataset | 2 | |
Hospital mortality | 0.069 | 0.001 | Beta | Dataset | 2 | |
Annual mortality post discharge | Year 1 | 0.050 | 0.002 | Beta | [24] | 2 |
Years 2 to 3 | 0.027 | 0.002 | ||||
Years 4 to 5 | 0.028 | 0.002 | ||||
Years 6 to 10 | 0.037 | 0.003 | ||||
Years 11 to 15 | 0.042 | 0.003 | ||||
Underlying annual mortality | 45 to 64 years | 0.004 | - | NA | [25] | 1 |
65 to 84 years | 0.030 | - | ||||
85 + years | 0.140 | - | ||||
Utilities: | ||||||
Utility ICU | 0.66 | 0.27 | Beta | [28] | 3 | |
Utilities population norms | 50 to 59 years | 0.80 | 0.22 | Beta | [27] | 3 |
60 to 69 years | 0.79 | 0.19 | ||||
70 to 79 years | 0.75 | 0.25 | ||||
80 + years | 0.66 | 0.29 | ||||
Costs, 2006 AUD: | ||||||
ICU bed day | 3,021 | - | NA | [31] | 4 | |
Hospital bed day | 843 | - | NA | [32] | 3 | |
Diagnostics CR-BSI | 101.70 | - | NA | Database | 1 | |
Treatment CR-BSI | 591.30 | - | NA | Database | 1 | |
Additional cost per catheter | SPC | 22.36 | - | NA | Database | 1 |
CH/SSD (ext) | 11.64 | - | ||||
CH/SSD (int/ext) | 41.35 | - | ||||
MR | 59.36 | - |
aAvailable on request from the authors.
A-CVCs, antimicrobial central venous catheters; CH/SSD, chlorhexidine silver sulfadiazine; CR-BSI, catheter related bloodstream infection; ICU, intensive care unit; int/ext, internally and externally coated; MR, minocycline and rifampicin; RR, relative risk; SPC, silver, platinum and carbon.