Cost Effectiveness of Laminar Flow Systems for Total Shoulder Arthroplasty: Filtering Money from the OR?
Arch Bone Jt Surg
; 8(1): 38-43, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-32090144
ABSTRACT
BACKGROUND:
Laminar flow ventilation systems were developed to reduce surgical contamination in joint arthroplasty to avoid periprosthetic joint infection (PJI). The goals of this study are to evaluate the cost-effectiveness and economic viability of installing and maintaining a laminar flow system in an operating room.METHODS:
A Monte Carlo simulation was used to evaluate the cost effectiveness of laminar flow. The variables included were cost to treat PJI, incidence of PJI, cost of laminar flow, years of operating room use, and arthroplasty volume as the dependent variable.RESULTS:
Laminar flow would be financially-justified when 1,217 (SD 319) TSA cases are performed annually with assumed 10% reduction in PJI from laminar flow and 487 (SD 127) with assumed 25% reduction. In a high volume OR, laminar flow costs $25.24 per case (assuming 10% reduction) and $8.24 per case (assuming 25% reduction). Laminar flow would need to reduce the incidence of PJI by 35.1% (SD 9.1) to be a cost-effective strategy.CONCLUSION:
This analysis demonstrates the substantial arthroplasty volume and large reduction in PJI rates required to justify the installation and maintenance costs of this technology. This high cost of implementation should be considered prior to installing laminar flow systems.
Texto completo:
1
Temas:
ECOS
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Tipo de estudo:
Health_economic_evaluation
Idioma:
En
Revista:
Arch Bone Jt Surg
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos