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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2023
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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. |
format | Online Article Text |
id | pubmed-10571121 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
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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