Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua
We performed an economic analysis of an intervention to decrease ventilator-associated pneumonia (VAP) prevalence in pediatric intensive care units (PICUs) at two Nicaraguan hospitals to determine the cost of the intervention and how effective it needs to be in order to be cost-neutral. A matched co...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2012/359430 |
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| _version_ | 1849410728644050944 |
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| author | Edward I. Broughton Sergio R. López María Nela Aguilar María Mercedes Somarriba Magaly Pérez Nieves Sánchez |
| author_facet | Edward I. Broughton Sergio R. López María Nela Aguilar María Mercedes Somarriba Magaly Pérez Nieves Sánchez |
| author_sort | Edward I. Broughton |
| collection | DOAJ |
| description | We performed an economic analysis of an intervention to decrease ventilator-associated pneumonia (VAP) prevalence in pediatric intensive care units (PICUs) at two Nicaraguan hospitals to determine the cost of the intervention and how effective it needs to be in order to be cost-neutral. A matched cohort study determined differences in costs and outcomes among ventilated patients. VAP cases were matched by sex and age for children older than 28 days and by weight for infants under 28 days old to controls without VAP. Intervention costs were determined from accounting and PICU staff records. The intervention cost was approximately $7,000 for one year. If VAP prevalence decreased by 0.5%, hospitals would save $7,000 and the strategy would be cost-neutral. The finding that the intervention required only modest effectiveness to be cost-neutral and has potential to generate substantial cost savings argues for implementation of VAP prevention strategies in low-income countries like Nicaragua on a broader scale. |
| format | Article |
| id | doaj-art-5af92dbb345545cabedf8e77db22f0ec |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-5af92dbb345545cabedf8e77db22f0ec2025-08-20T03:35:00ZengWileyInternational Journal of Pediatrics1687-97401687-97592012-01-01201210.1155/2012/359430359430Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in NicaraguaEdward I. Broughton0Sergio R. López1María Nela Aguilar2María Mercedes Somarriba3Magaly Pérez4Nieves Sánchez5University Research Co., LLC and EnCompass LLC, 7200 Wisconsin Avenue No. 600, Bethesda, MD 20814, USAComponente Materno Infantil, University Research Co., LLC, De La Vicky 1, Cuarda al Oeste 1, Edificio Plaza San Ramon, 2° Nivel, Puerta 7, Managua, NicaraguaComité de Infecciones Intrahospitalarias, Infantil Manuel Jesus Rivera Hospital, Barrio Ariel Darce, Managua, NicaraguaComité de Infecciones Intrahospitalarias, Infantil Manuel Jesus Rivera Hospital, Barrio Ariel Darce, Managua, NicaraguaDepartamento de Neonatología, Bertha Calderón Hospital, Del Centro Comercial Zumen 1, Cuadra al Oeste, Managua, NicaraguaDepartamento de Neonatología, Bertha Calderón Hospital, Del Centro Comercial Zumen 1, Cuadra al Oeste, Managua, NicaraguaWe performed an economic analysis of an intervention to decrease ventilator-associated pneumonia (VAP) prevalence in pediatric intensive care units (PICUs) at two Nicaraguan hospitals to determine the cost of the intervention and how effective it needs to be in order to be cost-neutral. A matched cohort study determined differences in costs and outcomes among ventilated patients. VAP cases were matched by sex and age for children older than 28 days and by weight for infants under 28 days old to controls without VAP. Intervention costs were determined from accounting and PICU staff records. The intervention cost was approximately $7,000 for one year. If VAP prevalence decreased by 0.5%, hospitals would save $7,000 and the strategy would be cost-neutral. The finding that the intervention required only modest effectiveness to be cost-neutral and has potential to generate substantial cost savings argues for implementation of VAP prevention strategies in low-income countries like Nicaragua on a broader scale.http://dx.doi.org/10.1155/2012/359430 |
| spellingShingle | Edward I. Broughton Sergio R. López María Nela Aguilar María Mercedes Somarriba Magaly Pérez Nieves Sánchez Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua International Journal of Pediatrics |
| title | Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua |
| title_full | Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua |
| title_fullStr | Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua |
| title_full_unstemmed | Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua |
| title_short | Economic Analysis of a Pediatric Ventilator-Associated Pneumonia Prevention Initiative in Nicaragua |
| title_sort | economic analysis of a pediatric ventilator associated pneumonia prevention initiative in nicaragua |
| url | http://dx.doi.org/10.1155/2012/359430 |
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