Economic Evaluation of a Catheter-Associated Urinary Tract Infection Prevention Program in Nursing Homes

Journal of the American Geriatrics Society
David W HuttonLona Mody

Abstract

To assess the economic effect and cost effectiveness of a targeted catheter-associated urinary tract infection (CAUTI) prevention intervention in the nursing home (NH) setting. Randomized clinical trial. Community-based NHs (N=12). NH residents with indwelling urinary catheters (N=418). Standard care versus infection prevention program involving barrier precautions, active surveillance, and NH staff education. Costs of the intervention, costs of disease, and health outcomes were used to calculate an incremental cost-effectiveness ratio for the intervention. Data came from intervention results and the literature and outcomes were analyzed over one year. A 120-bed NH would have program costs of $20,279/year. The cost of disease treatment would be reduced by $54,316 per year, resulting in a $34,037 net cost savings. Most of this savings would come from fewer CAUTI hospitalizations ($39,180), with $15,136 in savings from CAUTI care within the NH. The intervention also yielded a gain of 0.197 quality-adjusted life-years (QALYs). Taking into account uncertainty in all parameters suggests there is an 85% chance that the intervention is cost-saving. The CAUTI prevention program is expected to benefit payers by reducing costs and improv...Continue Reading

Associated Clinical Trials

Feb 4, 2010·Lona Mody, Lona Mody

References

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Citations

Oct 24, 2019·Journal of the American Geriatrics Society·Geoffrey J HoffmanLona Mody
Dec 12, 2019·Journal of the American Geriatrics Society·Jon P Furuno, Lona Mody
May 6, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Praveen KumarMark S Roberts
Mar 7, 2021·Polymers·Dania Olmos, Javier González-Benito
Apr 14, 2020·Journal of the American Medical Directors Association·Aaron M OgletreeDeborah Perfetto

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