Acute respiratory distress syndrome cost-effectiveness of therapy

Revision as of 23:21, 27 June 2016 by Brian Shaller (talk | contribs)
Jump to navigation Jump to search

Acute respiratory distress syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Acute respiratory distress syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Diagnostic study of choice

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Mechanical Ventilation Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Acute respiratory distress syndrome cost-effectiveness of therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Acute respiratory distress syndrome cost-effectiveness of therapy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Acute respiratory distress syndrome cost-effectiveness of therapy

CDC on Acute respiratory distress syndrome cost-effectiveness of therapy

Acute respiratory distress syndrome cost-effectiveness of therapy in the news

Blogs on Acute respiratory distress syndrome cost-effectiveness of therapy

Directions to Hospitals Treating Acute respiratory distress syndrome

Risk calculators and risk factors for Acute respiratory distress syndrome cost-effectiveness of therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Brian Shaller, M.D. [2]

Overview

Although ARDS is a serious medical condition associated with a very high mortality rate, the application of evidence-based therapies (e.g., lower tidal volume mechanical ventilation) have been shown to be cost-effective.

Cost-effectiveness of therapy

Although ICU-level care can be very costly, the use of low tidal volume mechanical ventilation appears to be cost-effective:

  • When the probability of surviving at least 2 months was > 70%, the cost per quality-adjusted life year (QALY) was $29,000
  • When the probability of surviving at least 2 months was 51 to 70%, the cost per QALY was $44,000
  • When the probability of surviving at least 2 months was < 50%, the cost per QALY was $110,000

References

  1. Hamel MB, Phillips RS, Davis RB, Teno J, Connors AF, Desbiens N; et al. (2000). "Outcomes and cost-effectiveness of ventilator support and aggressive care for patients with acute respiratory failure due to pneumonia or acute respiratory distress syndrome". Am J Med. 109 (8): 614–20. PMID 11099680.
  2. Cooke CR, Kahn JM, Watkins TR, Hudson LD, Rubenfeld GD (2009). "Cost-effectiveness of implementing low-tidal volume ventilation in patients with acute lung injury". Chest. 136 (1): 79–88. doi:10.1378/chest.08-2123. PMC 2716714. PMID 19318673.
  3. Peek GJ, Mugford M, Tiruvoipati R, Wilson A, Allen E, Thalanany MM; et al. (2009). "Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial". Lancet. 374 (9698): 1351–63. doi:10.1016/S0140-6736(09)61069-2. PMID 19762075.