NCT02556476

Cost Effectiveness Analysis of Critical Care in Resource Limited Setting

Cost Effectiveness of Intensive Care in a Low Resource Setting: Prospective Cohort of Medical Critically Ill Patients

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 148 (actual)
• Sponsor: University of Sarajevo · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

The purpose of this study was to examine the cost effectiveness of critical care in a middle income country with limited resources. The main study hypothesis was that critical care is cost effective in low resources setting.

Detailed description

The investigators objective was to calculate the cost effectiveness of treatment of critically ill patients in a medical ICU of a middle income country with limited access to ICU resources. Methods: Consecutive critically ill medical patients treated in a recently established medical ICU in Sarajevo, Bosnia and Herzegovina, were prospectively recorded and a subsequent cost utility analysis of intensive care in comparison to hospital ward treatment from the perspective of health care system was performed. Incremental cost effectiveness was calculated using estimates of ICU versus non-ICU treatment effectiveness based on a formal systematic review of published studies. Decision analytic modeling was used to compare treatment alternatives. Sensitivity analyses of the key model parameters were performed.

Conditions

• Critical Illness

Interventions

Type	Name	Description
PROCEDURE	mechanical ventilation	ventilator support for the patients presenting with acute respiratory failure
PROCEDURE	neuromuscular blockade	paralysis of the skeletal muscles in order to optimize mechanical ventilation, especially during ARDS
PROCEDURE	renal replacement therapy	the procedures used to treat acute kidney injury
PROCEDURE	non-invasive ventilation	Procedure used for ventilation support in patients with congestive heart failure, pulmonary edema, COPD and some other conditions.

Timeline

• Start date: 2011-06-01
• Primary completion: 2012-06-01
• Completion: 2013-06-01
• First posted: 2015-09-22
• Last updated: 2015-09-22