Protocol implementation for normothermia in surgery settings in italy: Budget-impact analysis
Risk Management and Healthcare Policy, ISSN: 1179-1594, Vol: 13, Page: 2347-2356
2020
- 3Citations
- 30Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations3
- Citation Indexes3
- Captures30
- Readers30
- 30
Article Description
Introduction: Hypothermia is a well-known risk of the perioperative period and considered a preventable effect of anesthesia care. Nevertheless, it is not fully controlled, causing a number of adverse outcomes following surgical operations and thus increasing length of stay in hospital and treatment costs. The aim of this study was to assess the budget impact (BI) of the implementation of proactive strategies to prevent inadvertent perioperative hypothermia (IPH) in surgical patients in Italy, as recommended by international guidelines and by a good clinical practice (GCP) guideline of the Italian Society of Anesthesia, Analgesia, Reanimation, and Intensive Care. Methods: BI was calculated over a 3-year period from the perspective of the Italian National Health Service (NHS). Model inputs were extracted from national literature when available and otherwise from international sources. The reference analytic model was based on the cost-effectiveness analysis of the National Institute for Health and Care Excellence clinical guidance 65. Estimates were based on assessments made about current malpractice in Italy and on a hypothesis of how future practice might change by implementing the GCP. Model output included overall BI results, variations in the number of warmed patients, medical-device average costs and use of mix. Results: The base-case estimate quantified a decrease of 35% in extra days of hospital stay due to IPH and a net BI of –€60.92 million. Conclusion: Increasing protocol adoption for preventing IPH would lead to both clinical advan-tages and significant savings for the NHS. Its large diffusion in Italian hospitals is thus desirable.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85094676128&origin=inward; http://dx.doi.org/10.2147/rmhp.s267923; http://www.ncbi.nlm.nih.gov/pubmed/33154686; https://www.dovepress.com/protocol-implementation-for-normothermia-in-surgery-settings-in-italy--peer-reviewed-article-RMHP; https://dx.doi.org/10.2147/rmhp.s267923; https://www.dovepress.com/protocol-implementation-for-normothermia-in-surgery-settings-in-italy--peer-reviewed-fulltext-article-RMHP
Informa UK Limited
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