Table 1. Clinical and economic model input parameters, values, and sources.
Parameter | Mean or median | Standard deviation or range | Source |
---|---|---|---|
Costs (2016 $US) | |||
ICU bed day | 4893 | 31.66 | [30,31] |
General ward bed daya,b | 2877 | 25.43 | [8] |
Hospitalizationa,c | |||
Bacteraemia | 13 231 | 396 | [8] |
Intra-abdominal infection | 14 572 | 278 | [8] |
Pneumonia (non-VAP) | 20 968 | 1844 | [8] |
Ventilator-associated pneumonia (VAP) | 27 981 | 2351 | [8] |
Urinary tract infection (UTI) | 7767 | 126 | [8] |
Drug treatments per day | |||
Tigecycline | 294.01 | [13] | |
Meropenem | 132.93 | [13] | |
Gentamicin | 44.68 | [13] | |
Amikacin | 59.44 | [13] | |
Colistin | 87.51 | [13] | |
PICC line insertion | 98.45 | [32] | |
Urine analysis | 3.01 | 0.14 | [33] |
Urine culture | 11.02 | 1.08 | [33] |
Abdominal CT scan | 260.68 | 76.80 | [32] |
Bronchoscopy | 138.31 | 25.17 | [32] |
Wound culture | 11.90 | 0.93 | [33] |
Chest x-ray | 28.79 | [32] | |
Sputum cultures | 17.77 | 2.10 | [32] |
Blood culture | 14.00 | 1.59 | [33] |
Median hourly wage (all occupations) | 18.13 | 9.36–45.94d | [10] |
Median annual wage (all occupations) | 37 704.39 | 19 467.52–95 544.65d | [10] |
Registered nurse hourly wage | 33.99 | 23.40–50.44d | [10] |
Probabilities (%) | |||
Bacteraemia | 20.28 | [34–39] | |
Intra-abdominal infection | 5.92 | [34–39] | |
Pneumonia (VAP and non-VAP) | 25.70 | [34–39] | |
Urinary tract infection (UTI) | 48.09 | [34–39] | |
Ventilator-associated pneumonia (VAP) given CRE pneumonia | 5.76 | [34–39] | |
Probability of ICU at onset | 44.2 | 4.53 | [36,40] |
Treatment probabilities | |||
Monotherapy | 47.03 | [41,42] | |
Carbapenem containing combination therapy | 38.86 | [41,42] | |
Non-carbapenem containing combination therapy | 14.11 | [41,42] | |
Mortality from bacteraemia | |||
Monotherapy | 46.4 | [42] | |
Carbapenem containing combination therapy | 40.7 | [42] | |
Non-carbapenem containing combination therapy | 18.2 | [42] | |
Mortality from intra-abdominal infection | |||
Monotherapy | 33.3 | [42] | |
Carbapenem containing combination therapy | 31.4 | [42] | |
Non-carbapenem containing combination therapy | 0.0 | [42] | |
Mortality from pneumonia | |||
Monotherapy | 46.7 | [42] | |
Carbapenem containing combination therapy | 30.4 | [42] | |
Non-carbapenem containing combination therapy | 27.8 | [42] | |
Mortality from urinary tract infection | |||
Monotherapy | 38.9 | [42] | |
Carbapenem containing combination therapy | 28.6 | [42] | |
Non-carbapenem containing combination therapy | 10.0 | [42] | |
Mortality attributable to CRE | 26–44 | [12] | |
Durations (days) and numbers | |||
Attributable length of stay | |||
Bacteraemia | 9–10 | [21–23] | |
Intra-abdominal infection | 14–21 | Expert opinion | |
Pneumonia (non-VAP) | 4–10 | [43] | |
Ventilator-associated pneumonia (VAP) | 10–14 | [44–48] | |
Urinary tract infection (UTI) | 4–8 | [49] | |
Treatment durations | |||
Bacteraemia | 14 | [7], Expert opinion | |
Intra-abdominal infection | 10–14 | [7], Expert opinion | |
Pneumonia (non-VAP) | 10–14 | [7], Expert opinion | |
Ventilator-associated pneumonia (VAP) | 14 | [7], Expert opinion | |
Urinary tract infection (UTI) | 14–21 | [7], Expert opinion | |
Patient contacts per day | 25–50 | [50] | |
Weight (kg) adults ≥60 years | 78.35 | 64.8–90.5 | [51] |
Baseline QALY value | 0.84 | ||
Utility weights | |||
Bacteraemia | 0.985 | 0.015 | [52–56] |
Intra-abdominal infection | 0.518 | 0.179 | [57–62] |
Pneumonia (non-VAP) | 0.969 | 0.046 | [52,54,63,64] |
Ventilator-associated pneumonia (VAP) | 0.875 | 0.064 | [65] |
Urinary tract infection (UTI) | 0.807 | 0.086 | [57,66–68] |
Values are weighted means for those aged 45–64 years and 65–84 years.
Estimated for all non-neonatal, non-material discharges.
Estimated using the following International Classification of Diseases, 9th Revision (ICD-9) codes: 790•7 for bacteraemia; 540•0 for intra-abdominal infection; 482•0 for pneumonia (non-VAP); 997•31 for ventilator-associated pneumonia; and 599•0 for urinary tract infection.
Values are 10–90% range.