tailieunhanh - Báo cáo y học: "Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy. | Tarricone et al. Cost Effectiveness and Resource Allocation 2010 8 8 http content 8 1 8 COST EFFECTIVENESS AND RESOURCE ALLOCATION RESEARCH Open Access Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy 1 1 2 3 Rosanna Tarricone Aleksandra Torbica Fabio Franzetti Victor D Rosenthal Abstract Objectives The aim was to evaluate direct health care costs of central line-associated bloodstream infections CLABSI and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open glass infusion containers. Methods A two-year prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI cases and patients without CLABSI controls were matched for admission departments gender age and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate number of CLABSI per 1000 central line days associated with the two infusion containers. Results A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was and years respectively p 56 of the cases and 57 of the controls were females p . The mean length of stay of cases and controls was and days respectively p . Overall the mean total costs of patients with and without CLABSI were 18 241 and 9 087 respectively p . On average the extra cost for drugs was 843 p for supplies 133 p for lab tests 171 p and for specialist visits 15 p . The mean extra cost for hospital stay overhead was 7 180 p . The closed infusion container was a dominant strategy. It resulted in lower

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