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Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis

Purpose: Historically, studies suggested that intraoperative hypothermia (IH) could result in significant resource consumption, but more recent studies have found the opposite. The purpose of this study is to estimate the value of active warming devices for IH prevention based on synthesized evidenc...

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Autores principales: Xu, He, Wang, Zijing, Lu, Yijuan, Guan, Xin, Ma, Yue, Malone, Daniel C., Salmon, Jack Warren, Ma, Aixia, Tang, Wenxi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582721/
https://www.ncbi.nlm.nih.gov/pubmed/34769877
http://dx.doi.org/10.3390/ijerph182111360
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author Xu, He
Wang, Zijing
Lu, Yijuan
Guan, Xin
Ma, Yue
Malone, Daniel C.
Salmon, Jack Warren
Ma, Aixia
Tang, Wenxi
author_facet Xu, He
Wang, Zijing
Lu, Yijuan
Guan, Xin
Ma, Yue
Malone, Daniel C.
Salmon, Jack Warren
Ma, Aixia
Tang, Wenxi
author_sort Xu, He
collection PubMed
description Purpose: Historically, studies suggested that intraoperative hypothermia (IH) could result in significant resource consumption, but more recent studies have found the opposite. The purpose of this study is to estimate the value of active warming devices for IH prevention based on synthesized evidence. Methods: A cost-benefit analysis was conducted using the effect of active warming versus passive warming devices for intraoperative hypothermia from a meta-analysis. The item-based aggregated treatment cost approach was adopted to estimate the cost of each adverse event, which was then weighted to calculate the total cost of IH. Results: IH was associated with higher risks of bleeding, surgical site infection, and shivering compared with normothermia. The cost of one case of IH was $363.80, and the use of active warming devices might save $152.80. Extra investment in active warming (e.g., $291.00) might only be cost-beneficial when the minimum willingness-to-pay is $150.00. Conclusions: Synthesized evidence showed that the cost of IH might be overestimated. Furthermore, the value of using active warming devices remains uncertain because the willingness to pay may vary between decision-makers. As not enough awareness of hypothermia prevention in some countries, further research into the clinical use of active warming devices during major surgeries is warranted.
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spelling pubmed-85827212021-11-12 Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis Xu, He Wang, Zijing Lu, Yijuan Guan, Xin Ma, Yue Malone, Daniel C. Salmon, Jack Warren Ma, Aixia Tang, Wenxi Int J Environ Res Public Health Article Purpose: Historically, studies suggested that intraoperative hypothermia (IH) could result in significant resource consumption, but more recent studies have found the opposite. The purpose of this study is to estimate the value of active warming devices for IH prevention based on synthesized evidence. Methods: A cost-benefit analysis was conducted using the effect of active warming versus passive warming devices for intraoperative hypothermia from a meta-analysis. The item-based aggregated treatment cost approach was adopted to estimate the cost of each adverse event, which was then weighted to calculate the total cost of IH. Results: IH was associated with higher risks of bleeding, surgical site infection, and shivering compared with normothermia. The cost of one case of IH was $363.80, and the use of active warming devices might save $152.80. Extra investment in active warming (e.g., $291.00) might only be cost-beneficial when the minimum willingness-to-pay is $150.00. Conclusions: Synthesized evidence showed that the cost of IH might be overestimated. Furthermore, the value of using active warming devices remains uncertain because the willingness to pay may vary between decision-makers. As not enough awareness of hypothermia prevention in some countries, further research into the clinical use of active warming devices during major surgeries is warranted. MDPI 2021-10-28 /pmc/articles/PMC8582721/ /pubmed/34769877 http://dx.doi.org/10.3390/ijerph182111360 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Xu, He
Wang, Zijing
Lu, Yijuan
Guan, Xin
Ma, Yue
Malone, Daniel C.
Salmon, Jack Warren
Ma, Aixia
Tang, Wenxi
Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis
title Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis
title_full Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis
title_fullStr Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis
title_full_unstemmed Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis
title_short Value of Active Warming Devices for Intraoperative Hypothermia Prevention—A Meta-Analysis and Cost-Benefit Analysis
title_sort value of active warming devices for intraoperative hypothermia prevention—a meta-analysis and cost-benefit analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582721/
https://www.ncbi.nlm.nih.gov/pubmed/34769877
http://dx.doi.org/10.3390/ijerph182111360
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