Table 3. Estimated hospital costs per patient between randomisation and two months follow-up.
Sodium bicarbonate N = 168 |
Saline N = 165 |
Mean difference in $ (95% CI) | |||
---|---|---|---|---|---|
Volume* | Mean cost in $ (SD) | Volume* | Mean cost in $ (SD) | ||
Costs related to contrast procedure | |||||
- infusion fluids | 0.96 | 4 (1) | 0.96 | 3 (1) | 1 (1 to 1) |
- days prior to contrast exposure | 0.52 | 394 (527) | 0.93 | 705 (344) | -311 (-407 to -215) |
- day of contrast exposure1 | 0.96 | 678 (178) | 0.96 | 727 (149) | -48 (-84 to -13) |
- day following contrast exposure2 | 0.11 | 82 (236) | 0.17 | 126 (284) | -45 (-101 to 12) |
- ICU days due to hydration complications† | 0.00 | 0 (0) | 0.01 | 38 (485) | -38 (-111 to 36) |
- non-ICU days due to hydration complications† | 0.0 | 0 (0) | 0.12 | 93 (941) | -93 (-236 to 49) |
- total costs related to the contrast procedure | 1158 (650) | 1561 (522) | -403 (-530 to -275) | ||
Other hospitalization | |||||
- following contrast exposure3 | 1.86 | 1414 (4458) | 1.23 | 934 (3228) | 480 (-363 to 1324) |
- day care | 0.14 | 69 (255) | 0.17 | 80 (235) | -11 (-64 to 42) |
- non-ICU, AKI4 | 0.00 | 0 (0) | 0.08 | 61 (775) | -61 (-178 to 57) |
- non-ICU, non-AKI4 | 1.97 | 1500 (4815) | 2.11 | 1607 (4123) | -107 (-1077 to 864) |
- ICU4 | 0.08 | 258 (2477) | 0.04 | 133 (1698) | 125 (-335 to 586) |
Outpatient visits | |||||
- emergency department | 0.09 | 22 (75) | 0.10 | 24 (83) | -2 (-19 to 15) |
- nephrology | 0.32 | 45 (119) | 0.25 | 34 (100) | 11 (-13 to 34) |
- non-nephrology | 2.84 | 395 (441) | 3.28 | 456 (494) | -62 (-163 to 40) |
Total costs | 4861 (7313) | 5022 (6254) | -161 (-1634 to 1312) |
Abbreviations: ICU = intensive care unit, AKI = acute kidney injury
* Volumes represent percentage of patients or mean number of procedures, hospital days or visits
† i.e. acute heart failure due to volume overload
1 Costs based on prices for either day-care or non-ICU days depending on duration of hospitalisation,
2 Only in those discharged on the day following the contrast procedure,
3 Excluding the day following contrast exposure in patients discharged on that following day,
4 Hospitalization not directly following contrast exposure