Table 3. Base Case Results.
CLABSI | VAP | |
---|---|---|
Number of cases averted (index ICU stay) | 10.81 | 7.71 |
Infections averted among attributable deaths | 1.73 | 0.79 |
Infections averted among discharged alive | 9.08 | 6.91 |
| ||
Health effects (post-discharge from index ICU) | ||
Life expectancy / case | ||
No infection | 4.44 | 4.59 |
Infection | discharged alive | 3.57 | 3.55 |
Infection | died | ||
| ||
QALY / case | ||
No infection | 2.16 | 2.26 |
Infection | discharged alive | 1.67 | 1.68 |
Infection | died | ||
| ||
Health benefits from infections averted | ||
LY gained | 15.55 | 10.84 |
QALY gained | 8.12 | 5.81 |
| ||
Costs | ||
Index ICU savings / case | $16,155.00 | $21,163.00 |
Total index ICU savings | $174,713.09 | $163,090.54 |
| ||
Post-discharge from index ICU | ||
No infection / case | $124,737.28 | $124,581.68 |
Infection | survived / case | $108,108.82 | $109,670.15 |
Infection | died / case | ||
Total Cost Savings | ($366,901.52) | ($201,965.92) |
| ||
Combining BSI and VAP | ||
Total ICU Gain in LY | 26.39 | |
Total ICU Gain in QALY | 13.93 | |
| ||
Total ICU Inpatient Cost Increase | ($337,803.64) | |
Total ICU downstream Cost Increase | $568,867.44 | |
| ||
Intervention Cost / case (CLABSI + VAP) | $7,828.87 | |
Total Intervention Cost / ICU | $145,000.00 | |
Total Cost Increase | $376,063.80 | |
| ||
ICER (LE) | $14,250.74 | |
ICER (QALY) | $26,996.33 |
CLABSI: Central Line-Associated Bloodstream Infection, ICER: Incremental Cost-Effectiveness Ratios, ICU: Intensive Care Unit, LY: Life Years, QALY: Quality-Adjusted Life Years, VAP: Ventilator-Associated Pneumonia