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SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia

Objectives: We estimated the change to health-service costs and health benefits resulting from a decision to adopt temporary isolation rooms, which are effective at isolating the patient within a general ward environment. We assessed the cost-effectiveness of the decision to adopt temporary isolatio...

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Autores principales: Graves, Nicholas, Cai, Yiying, Fisher, Dale, Kiernan, Martin, Mitchell, Brett
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10571121/
http://dx.doi.org/10.1017/ash.2023.85
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author Graves, Nicholas
Cai, Yiying
Fisher, Dale
Kiernan, Martin
Mitchell, Brett
author_facet Graves, Nicholas
Cai, Yiying
Fisher, Dale
Kiernan, Martin
Mitchell, Brett
author_sort Graves, Nicholas
collection PubMed
description Objectives: We estimated the change to health-service costs and health benefits resulting from a decision to adopt temporary isolation rooms, which are effective at isolating the patient within a general ward environment. We assessed the cost-effectiveness of the decision to adopt temporary isolation rooms in a Singapore hospital. Methods: Existing data were used to update a model of the impact of adopting temporary isolation rooms on healthcare-associated infections. We predicted the expected change to health service costs and health benefits, measured in life years gained. Uncertainty was addressed using probabilistic sensitivity analysis, and the findings were tested with plausible scenarios to determine the effectiveness of the intervention. Results: We predicted 478 fewer HAIs per 100,000 occupied bed days resulting from a decision to adopt temporary isolation rooms. This decreased would result in cost savings of SGD$329,432 (US $247,302) and 1,754 life years gained. When the effectiveness of the intervention was set at 1% of cases of HAI prevented, the incremental cost per life year saved was SGD$16,519 (US $12,400), indicating that this would be a cost-effective measure in Singapore. Conclusions: We have provided evidence that adoption of a temporary isolation room would be cost-effective for Singapore acute-care hospitals. Using temporary isolation rooms may be a positive decision for other countries in the region with fewer resources for infection prevention and control.
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spelling pubmed-105711212023-10-14 SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia Graves, Nicholas Cai, Yiying Fisher, Dale Kiernan, Martin Mitchell, Brett Antimicrob Steward Healthc Epidemiol Multidrug-Resistant (MDR) Organisms Objectives: We estimated the change to health-service costs and health benefits resulting from a decision to adopt temporary isolation rooms, which are effective at isolating the patient within a general ward environment. We assessed the cost-effectiveness of the decision to adopt temporary isolation rooms in a Singapore hospital. Methods: Existing data were used to update a model of the impact of adopting temporary isolation rooms on healthcare-associated infections. We predicted the expected change to health service costs and health benefits, measured in life years gained. Uncertainty was addressed using probabilistic sensitivity analysis, and the findings were tested with plausible scenarios to determine the effectiveness of the intervention. Results: We predicted 478 fewer HAIs per 100,000 occupied bed days resulting from a decision to adopt temporary isolation rooms. This decreased would result in cost savings of SGD$329,432 (US $247,302) and 1,754 life years gained. When the effectiveness of the intervention was set at 1% of cases of HAI prevented, the incremental cost per life year saved was SGD$16,519 (US $12,400), indicating that this would be a cost-effective measure in Singapore. Conclusions: We have provided evidence that adoption of a temporary isolation room would be cost-effective for Singapore acute-care hospitals. Using temporary isolation rooms may be a positive decision for other countries in the region with fewer resources for infection prevention and control. Cambridge University Press 2023-03-16 /pmc/articles/PMC10571121/ http://dx.doi.org/10.1017/ash.2023.85 Text en © The Society for Healthcare Epidemiology of America 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Multidrug-Resistant (MDR) Organisms
Graves, Nicholas
Cai, Yiying
Fisher, Dale
Kiernan, Martin
Mitchell, Brett
SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia
title SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia
title_full SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia
title_fullStr SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia
title_full_unstemmed SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia
title_short SG-APSIC1164: Cost-effectiveness of temporary isolation rooms in acute-care settings in Asia
title_sort sg-apsic1164: cost-effectiveness of temporary isolation rooms in acute-care settings in asia
topic Multidrug-Resistant (MDR) Organisms
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10571121/
http://dx.doi.org/10.1017/ash.2023.85
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