Using technology to reduce critical deterioration (the DETECT study)

Detalhes bibliográficos
Autor(a) principal: Costa, Eduardo
Data de Publicação: 2023
Outros Autores: 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
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.
id RCAP_a070cea6a4820b74b380c88b50ed74f6
oai_identifier_str oai:run.unl.pt:10362/159529
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling 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
dc.type.driver.fl_str_mv 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
dc.format.none.fl_str_mv 10
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138158107951104