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. Author manuscript; available in PMC: 2018 Nov 1.
Published in final edited form as: Anesthesiology. 2018 Aug;129(2):249–259. doi: 10.1097/ALN.0000000000002231

Table 2.

Sensitivity analyses to determine the independent cost variables’ impact on the dependent variable of mortality and morbidity benefit

Cost Categories Base Value Lower Limit Upper Limit *Cost Lower Range *Cost Upper Range
Dantrolene $1,008.00 $700.00 $1,100.00 $5,019,859 $6,195,859
Other Cart Supplies $237.62 $100.00 $400.00 $5,520,776 $6,402,776
Pharmacist Time 3 1 5 $5,503,901 $6,346,857
RN Time 13 10 20 $5,548,985 $6,803,630
Pharmacist Salary + Benefits (25%) $71.68 $30.00 $100.00 $5,557,761 $6,175,161
RN Salary + Benefits (25%) $42.68 $25.00 $75.00 $5,249,840 $7,160,840
Number of Hospitals 2940 2471 3377 $4,980,140 $6,806,124
Effectiveness Categories Base Value Lower Limit Upper Limit **VSL Lower Range **VSL Upper Range
Dantrolene Intervention MH Mortality 10% 1.40% 11.70% $3,700,857 $3,217,928
30 Minute Dantrolene Treatment Delay 80% 50% 100% $1,891,045 $4,235,360
GA rate for CD 5.80% 3.00% 10.00% $1,823,364 $5,509,039
GA rate for Non-CD Procedures 4.51% 2% 8% $3,161,956 $3,486,287
Rate of Non-CD Procedures 3.20% 2% 4% $3,204,348 $3,361,121
Number of Births 3988076 3988076 3988076 $3,297,634 $3,297,634
Rate of CD of all L&D visits 32.20% 15.00% 42.00% $1,666,388 $4,227,065
Number of GA Cases per MH Case 170968 341936 85484 $1,648,817 $6,595,269
Fetal mortality 0% 40% $3,297,634 $4,864,306
Fetal morbidity 10% 50% $3,298,880 $3,303,862
*

Cost = Estimated yearly cost per maternal and fetal lives saved by maintaining a malignant hyperthermia cart on a maternity ward

**

VSL = Estimated yearly maternal and fetal value of statistical lives

Cost-benefit is achieved when VSL is greater than lowest cost value.

RN=registered nurse; CD=cesarean delivery; GA=general anesthesia; MH=malignant hyperthermia; L&D=labor and delivery