Table 1. Costs of purchasing, maintaining and repairing pulse oximeters.
Parameter | Point estimate (range)a |
Data source(s) and assumptionsa | |
---|---|---|---|
Commercial tabletop device | Hand-held device | ||
Cost of purchase, shipping and internal transport, US$ | 1065 (600–3000) | 250 (250–280) | Lifebox product information4 |
Life-span, years | 6 (4–8) | 8 (6–10) | Expert opinion |
Annuitized maintenance costs, including those for replacement probes and batteries, US$b | 34 (17–85) | 18 (15–31) | Probes for tabletop device replaced every 2 (1–3) years at a cost of US$ 100.40,c Probes for hand-held device replaced every 2 (1–3) years at a cost of US$ 254 and batteries for hand-held device replaced every year at a cost of US$ 104 |
Annuitized repair costs, US$ | 45 (30–60) | 6 (2–13) | 15% (10–20%) chance of breakage of a tabletop device each year, at a total cost per year of US$ 355 including shipping.40,c 5% (1–10%) chance of breakage of hand-held device each year, at a total cost per year of US$ 65 during the first 2 years – when the device is under warranty – and US$ 138 thereafter4 |
Annual cost of treating additional hypoxic episodes identified by pulse oximetry, US$ | 35 (17–52) | 35 (17–52) | Incidence of hypoxia is 7.9% with pulse oximetry and 0.4% without oximetry.10 If hypoxia is detected, oxygen flow increased by 8 litres/min for 10 minutes,c at a cost of US$ 0.40 per additional hypoxic episode detected9 |
Total equivalent annual cost, US$ | 310 | 95 | Authors’ calculations. Uncertainty explored in sensitivity analysis |
US$: United States dollars.
a All costs are shown adjusted to 2013 values, assuming 3% inflation per year.
b Excludes share of general overhead costs attributable to use of pulse oximetry – i.e. costs of cleaning and electricity.
c Value partly or entirely based on expert opinion.