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Research ArticleConference Proceedings

Cost-Effectiveness Issues in Ventilator-Associated Pneumonia

Joseph S Solomkin
Respiratory Care July 2005, 50 (7) 956-964;
Joseph S Solomkin
Division of Trauma and Critical Care, University of Cincinnati Medical Center, Cincinnati, Ohio.
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Abstract

Ventilator-associated pneumonia has attracted considerable interest as a subject of clinical efficacy assessment research. This article summarizes recommendations made by the United States Public Health Service Panel on Cost-Effectiveness in Health and Medicine and by a panel convened by the American Thoracic Society to address economic analyses in critical care. The following recommendations are made for the performance of cost-efficacy studies in ventilator-associated pneumonia. For mortality-based studies, only data from prospective and blinded randomized trials are suitable for analysis. For cost-minimization studies, observational studies may be useful but should use rigorous matching schemes. Estimates for the quality of life of patients surviving an episode of ventilator-associated pneumonia should be based on the disease that required mechanical ventilation or compared to data available for survivors of the respiratory distress syndrome, whichever diagnosis provides a lessened quality of life. Within an individual intensive care unit the greatest cost savings come from constructing a cohesive and unified approach to many issues seen in the unit.

  • ventilator-associated pneumonia
  • cost-effectiveness
  • quality-adjusted life year
  • QALY

Footnotes

  • Correspondence: Joseph S Solomkin MD, Division of Trauma and Critical Care, University of Cincinnati Medical Center, PO Box 670558, 231 Albert Sabin Way, CincinnatiOH45267–0558.E-mail: solomkjs{at}uc.edu.
  • Joseph S Solomkin MD presented a version of this article at the 35th Respiratory Care Journal Conference, Ventilator-Associated Pneumonia, held February 25–27, 2005, in Cancún, Mexico.

  • Copyright © 2005 by Daedalus Enterprises Inc.
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Respiratory Care: 50 (7)
Respiratory Care
Vol. 50, Issue 7
1 Jul 2005
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Cost-Effectiveness Issues in Ventilator-Associated Pneumonia
Joseph S Solomkin
Respiratory Care Jul 2005, 50 (7) 956-964;

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Cost-Effectiveness Issues in Ventilator-Associated Pneumonia
Joseph S Solomkin
Respiratory Care Jul 2005, 50 (7) 956-964;
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Keywords

  • ventilator-associated pneumonia
  • cost-effectiveness
  • quality-adjusted life year
  • QALY

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