Sepsis & infection

Cost-effectiveness of data driven personalised antibiotic dosing in critically ill patients with sepsis or septic shock

J Clin Monit ComputPublished Economic evaluation alongside the AutoKinetics randomised controlled trial

Authors' conclusion

Data-driven personalised antibiotic dosing in critically ill patients as implemented in the AutoKinetics trial cannot be recommended for implementation as a cost-effective intervention.

Study context

Population
Critically ill patients with sepsis or septic shock
Comparison
Intervention vs Usual care
Primary endpoint
Cost-effectiveness (incremental cost-effectiveness ratios) for QALYs, mortality and pharmacokinetic target attainment; costs from a societal perspective
Methodological detailscost-effectiveness analysis, societal perspective, multiple imputation, bootstrapping, bivariate regression
  • Cost-effectiveness analysis
  • Societal perspective
  • Multiple imputation
  • Bootstrapping
  • Bivariate regression

Primary result

As reported in the abstract

Costs and effects
Costs, intervention vs usual care
€42,684 vs. 39,475
Mortality, intervention vs usual care
42% vs. 49%
Quality-adjusted life years (QALYs), intervention vs usual care
0.184 vs. 0.153
Pharmacokinetic target attainment, intervention vs usual care
69% vs. 48%
Additional cost to attain targeted plasma levels for one more patient
€18,129
Additional cost to save one life
€55,576
Additional cost to gain one QALY
€123,493

Original publication

Cost-effectiveness of data driven personalised antibiotic dosing in critically ill patients with sepsis or septic shock. J Clin Monit Comput. Published 24 January 2025. doi:10.1007/s10877-024-01257-9

Composed by AI from the published abstract and checked against it. How Briefs are made →

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