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Are educational interventions to prevent catheter-related bloodstream infections in intensive care unit cost-effective?

Are educational interventions to prevent catheter-related bloodstream infections in intensive care unit cost-effective?
Are educational interventions to prevent catheter-related bloodstream infections in intensive care unit cost-effective?
BACKGROUND: There is increasing interest in evidence-based educational interventions in central venous catheter care. It is unclear how effective these are at reducing the risk of bloodstream infections from the use of intravascular catheters (catheter-BSIs) and the associated costs and health benefits.

AIM: To estimate the additional costs and health benefits from introducing such interventions and the costs associated with catheter-BSIs.

METHODS: A comprehensive epidemiological and economic review was performed to develop the parameters for an economic model to assess the cost-effectiveness of introducing an educational intervention compared with clinical practice without the intervention. The model follows the clinical pathway of cohorts of patients from their admission to an intensive care unit (ICU), where some may acquire catheter-BSI, and estimates the associated costs, mortality and life expectancy.

FINDINGS: The additional cost per catheter-BSI episode was £3940. The results of this model demonstrate that introducing an additional educational intervention to prevent catheter-BSI improved patient life expectancy and reduced overall costs.

CONCLUSION: Introducing evidence-based education is likely to reduce the incidence of catheter-BSI and the model results suggest that the cost of introducing the interventions will be outweighed by savings related to reduced ICU bed occupancy costs.
care bundle, catheter bloodstream infection, central venous catheter, cost-effectiveness, educational intervention
0195-6701
47-52
Cooper, K.
6b37f95e-daae-4b87-9f79-0fabd4eb8f6b
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Harris, P.
65908d3a-d64f-436d-829a-fd500923515b
Jones, J.
5ca0d91a-d5f9-4d00-834d-46c550240a13
Cooper, T.
a3ee8fa0-e7b6-4126-afb6-32a813b0b019
Graves, N.
fad29e59-b2dc-47e6-a1d2-fc3e913fc850
Cleland, J.
9015a550-0b00-480c-85d8-88126d986570
Shepherd, J.
f7d0f784-a90d-4a44-9df8-3e6ed213a10d
Clegg, A.
4a42c0bf-8146-4536-9aa9-a2710db902d7
Cuthbertson, B.H.
14f2d937-5a0a-46c7-ab25-be3f2d892817
Cooper, K.
6b37f95e-daae-4b87-9f79-0fabd4eb8f6b
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Harris, P.
65908d3a-d64f-436d-829a-fd500923515b
Jones, J.
5ca0d91a-d5f9-4d00-834d-46c550240a13
Cooper, T.
a3ee8fa0-e7b6-4126-afb6-32a813b0b019
Graves, N.
fad29e59-b2dc-47e6-a1d2-fc3e913fc850
Cleland, J.
9015a550-0b00-480c-85d8-88126d986570
Shepherd, J.
f7d0f784-a90d-4a44-9df8-3e6ed213a10d
Clegg, A.
4a42c0bf-8146-4536-9aa9-a2710db902d7
Cuthbertson, B.H.
14f2d937-5a0a-46c7-ab25-be3f2d892817

Cooper, K., Frampton, Geoff, Harris, P., Jones, J., Cooper, T., Graves, N., Cleland, J., Shepherd, J., Clegg, A. and Cuthbertson, B.H. (2014) Are educational interventions to prevent catheter-related bloodstream infections in intensive care unit cost-effective? Journal of Hospital Infection, 86 (1), 47-52. (doi:10.1016/j.jhin.2013.09.004). (PMID:24262140)

Record type: Article

Abstract

BACKGROUND: There is increasing interest in evidence-based educational interventions in central venous catheter care. It is unclear how effective these are at reducing the risk of bloodstream infections from the use of intravascular catheters (catheter-BSIs) and the associated costs and health benefits.

AIM: To estimate the additional costs and health benefits from introducing such interventions and the costs associated with catheter-BSIs.

METHODS: A comprehensive epidemiological and economic review was performed to develop the parameters for an economic model to assess the cost-effectiveness of introducing an educational intervention compared with clinical practice without the intervention. The model follows the clinical pathway of cohorts of patients from their admission to an intensive care unit (ICU), where some may acquire catheter-BSI, and estimates the associated costs, mortality and life expectancy.

FINDINGS: The additional cost per catheter-BSI episode was £3940. The results of this model demonstrate that introducing an additional educational intervention to prevent catheter-BSI improved patient life expectancy and reduced overall costs.

CONCLUSION: Introducing evidence-based education is likely to reduce the incidence of catheter-BSI and the model results suggest that the cost of introducing the interventions will be outweighed by savings related to reduced ICU bed occupancy costs.

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More information

e-pub ahead of print date: 21 September 2013
Published date: January 2014
Keywords: care bundle, catheter bloodstream infection, central venous catheter, cost-effectiveness, educational intervention
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 360615
URI: http://eprints.soton.ac.uk/id/eprint/360615
ISSN: 0195-6701
PURE UUID: 37702443-c492-4725-91f4-51fe353e69ea
ORCID for Geoff Frampton: ORCID iD orcid.org/0000-0003-2005-0497

Catalogue record

Date deposited: 19 Dec 2013 12:53
Last modified: 18 Feb 2021 16:41

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Contributors

Author: K. Cooper
Author: Geoff Frampton ORCID iD
Author: P. Harris
Author: J. Jones
Author: T. Cooper
Author: N. Graves
Author: J. Cleland
Author: J. Shepherd
Author: A. Clegg
Author: B.H. Cuthbertson

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