Using technology to reduce critical deterioration (the DETECT study)
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/159529 |
Resumo: | . Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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Using technology to reduce critical deterioration (the DETECT study)A cost analysis of care costs at a tertiary children's hospital in the United KingdomChildren's critical careCost analysisCritical deterioration eventsPaediatricPaediatric early warning systemPaediatric early warning system score. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Background Electronic early warning systems have been used in adults for many years to prevent critical deterioration events (CDEs). However, implementation of similar technologies for monitoring children across the entire hospital poses additional challenges. While the concept of such technologies is promising, their cost-effectiveness is not established for use in children. In this study we investigate the potential for direct cost savings arising from the implementation of the DETECT surveillance system. Methods Data were collected at a tertiary children’s hospital in the United Kingdom. We rely on the comparison between patients in the baseline period (March 2018 to February 2019) and patients in the post-intervention period (March 2020 to July 2021). These provided a matched cohort of 19,562 hospital admissions for each group. From these admissions, 324 and 286 CDEs were observed in the baseline and post-intervention period, respectively. Hospital reported costs and Health Related Group (HRG) National Costs were used to estimate overall expenditure associated with CDEs for both groups of patients. Results Comparing post-intervention with baseline data we found a reduction in the total number of critical care days, driven by an overall reduction in the number of CDEs, however without statistical significance. Using hospital reported costs adjusted for the Covid-19 impact, we estimate a non-significant reduction of total expenditure from £16.0 million to £14.3 million (corresponding to £1.7 million of savings – 11%). Additionally, using HRG average costs, we estimated a non-significant reduction of total expenditure from £8.2 million to £ 7.2 million (corresponding to £1.1 million of savings – 13%). Discussion and conclusion Unplanned critical care admissions for children not only impose a substantial burden on patients and families but are also costly for hospitals. Interventions aimed at reducing emergency critical care admissions can be crucial to contribute to the reduction of these episodes’ costs. Even though cost reductions were identified in our sample, our results do not support the hypothesis that reducing CDEs using technology leads to a significant reduction on hospital costs.NOVA School of Business and Economics (NOVA SBE)RUNCosta, EduardoMateus, CéuCarter, BernieSaron, HollyEyton-Chong, Chin-KienTrust, AlderLane, StevenSiner, SarahDean, JasonBarnes, MichaelMcNally, ChrisLambert, CarolineHollingsworth, BruceCarrol, Enitan D.Sefton, Gerri2023-11-03T22:11:13Z2023-07-042023-07-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/159529eng1472-6963PURE: 67083582https://doi.org/10.1186/s12913-023-09739-3info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:41:55Zoai:run.unl.pt:10362/159529Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:57:35.061215Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Using technology to reduce critical deterioration (the DETECT study) A cost analysis of care costs at a tertiary children's hospital in the United Kingdom |
title |
Using technology to reduce critical deterioration (the DETECT study) |
spellingShingle |
Using technology to reduce critical deterioration (the DETECT study) Costa, Eduardo Children's critical care Cost analysis Critical deterioration events Paediatric Paediatric early warning system Paediatric early warning system score |
title_short |
Using technology to reduce critical deterioration (the DETECT study) |
title_full |
Using technology to reduce critical deterioration (the DETECT study) |
title_fullStr |
Using technology to reduce critical deterioration (the DETECT study) |
title_full_unstemmed |
Using technology to reduce critical deterioration (the DETECT study) |
title_sort |
Using technology to reduce critical deterioration (the DETECT study) |
author |
Costa, Eduardo |
author_facet |
Costa, Eduardo Mateus, Céu Carter, Bernie Saron, Holly Eyton-Chong, Chin-Kien Trust, Alder Lane, Steven Siner, Sarah Dean, Jason Barnes, Michael McNally, Chris Lambert, Caroline Hollingsworth, Bruce Carrol, Enitan D. Sefton, Gerri |
author_role |
author |
author2 |
Mateus, Céu Carter, Bernie Saron, Holly Eyton-Chong, Chin-Kien Trust, Alder Lane, Steven Siner, Sarah Dean, Jason Barnes, Michael McNally, Chris Lambert, Caroline Hollingsworth, Bruce Carrol, Enitan D. Sefton, Gerri |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA School of Business and Economics (NOVA SBE) RUN |
dc.contributor.author.fl_str_mv |
Costa, Eduardo Mateus, Céu Carter, Bernie Saron, Holly Eyton-Chong, Chin-Kien Trust, Alder Lane, Steven Siner, Sarah Dean, Jason Barnes, Michael McNally, Chris Lambert, Caroline Hollingsworth, Bruce Carrol, Enitan D. Sefton, Gerri |
dc.subject.por.fl_str_mv |
Children's critical care Cost analysis Critical deterioration events Paediatric Paediatric early warning system Paediatric early warning system score |
topic |
Children's critical care Cost analysis Critical deterioration events Paediatric Paediatric early warning system Paediatric early warning system score |
description |
. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-03T22:11:13Z 2023-07-04 2023-07-04T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/159529 |
url |
http://hdl.handle.net/10362/159529 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1472-6963 PURE: 67083582 https://doi.org/10.1186/s12913-023-09739-3 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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10 application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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