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. Author manuscript; available in PMC: 2016 Feb 5.
Published in final edited form as: Am J Infect Control. 2015 Jan;43(1):4–9. doi: 10.1016/j.ajic.2014.07.014

Table 1. Overview of Variables and Values.

Variable Base Case High Low Reference
Intervention Costs (per year): $145,000.00 $217,500.00 $72,500.00 Waters16

CLABSI VAP CLABSI VAP CLABSI VAP
Base Case Base Case Reference

Index ICU Stay:

Device Days
   Usual care comparator 3324 2918 - - - - NNIS 200417
   Multifaceted infection prevention program 2846 2028 4269 3042 1423 1014 NHSN 201118

  Incidence (per 1000 device days)
   Usual care comparator 5.0 4.9 - - - - NNIS 200417
   Multifaceted infection prevention program 1.2 1.1 4.8 4.7 0.0 0.0 NHSN 201118

  Attributable Death Rate 0.160 0.103 0.250 0.161 0.120 0.077 Eber3

  Costs
   Inpatient $ / HAI case $16,155.00 $21,163.00 $24,232.50 $31,744.50 $8,077.50 $10,581.50 CDC2

Base Case High Low Reference

Post-index ICU stay experiences:

  Discount rate 3% 5% 0%

  Quality of life decrements
   Hospital admission* 0.121 0.182 0.061 Scherbaum30
   Home care day** 0.570 0.855 0.285
   Long-term care day** 0.570 0.855 0.285
   Emergency room visit day** 0.400 0.600 0.200
   Age 65*** 0.200
   Age > 65 / per year*** 0.005 Wagner31

  Costs
   Hospital day $2,048.36 $3,072.54 $1,024.18
   Home care day $143.83 $215.75 $71.92
   Emergency room visit $5,655.57 $8,483.36 $2,827.79
   Long-term care day $99.54 $149.30 $49.77
*

The hospital admission utility decrement is an annual decrement

**

The home care, long-term care, and emergency room decrements are per day

***

We apply an age-based decrement to utility, setting QALY to 0.80 at age 65 and decreasing by 0.005 per year thereafter (See Wagner31).

CLABSI: Central Line-Associated Bloodstream Infections, HAI: Healthcare-Associated Infections, ICU: Intensive Care Unit, QALY: Quality-Adjusted Life Years, VAP: Ventilator-Associated Pneumonia