Cost assessment of a new oral care program in the intensive care unit to prevent ventilator-associated pneumonia.
Clin Oral Investig
; 22(5): 1945-1951, 2018 Jun.
Article
em En
| MEDLINE
| ID: mdl-29189950
ABSTRACT
OBJECTIVES:
Ventilator-associated pneumonia (VAP) is the most frequent hospital-acquired infections in intensive care units (ICU). In the bundle of care to prevent the VAP, the oral care is very important strategies, to decrease the oropharyngeal bacterial colonization and presence of causative bacteria of VAP. In view of the paucity of medical economics studies, our objective was to determine the cost of implementing this oral care program for preventing VAP. MATERIALS ANDMETHODS:
In five ICUs, during period 1, caregivers used a foam stick for oral care and, during period 2, a stick and tooth brushing with aspiration. Budgetary effect of the new program from the hospital's point of view was analyzed for both periods. The costs avoided were calculated from the incidence density of VAP (cases per 1000 days of intubation). The cost study included device cost, benefit lost, and ICU cost (medication, employer and employee contributions, blood sample analysis ).RESULTS:
A total of 2030 intubated patients admitted to the ICUs benefited from oral care. The cost of implementing the study protocol was estimated to be 11,500 per year. VAP rates decreased significantly between the two periods (p1 = 12.8% and p2 = 8.5%, p = 0.002). The VAP revenue was ranged from 28,000 to 45,000 and the average cost from 39,906 to 42,332. The total cost assessment calculated was thus around 1.9 million in favor of the new oral care program. CONCLUSION AND CLINICAL RELEVANCE Our study showed that the implementation of a simple strategy improved the quality of patient care is economically viable. TRIAL REGISTRATION NCT02400294.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Higiene Bucal
/
Infecção Hospitalar
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Controle de Infecções
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Pneumonia Associada à Ventilação Mecânica
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Unidades de Terapia Intensiva
Tipo de estudo:
Guideline
/
Health_economic_evaluation
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Clin Oral Investig
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
França