Respiratory failure & ventilation

Health-Economic Value of Transvenous Diaphragm Neurostimulation in Ventilator Weaning

Crit Care MedPublished Cost-consequence analysis

Authors' conclusion

Based on these exploratory findings, improved weaning rates with tDNS will likely lead to meaningful cost savings in acute and long-term care settings, and concurrent long-term QALY gains that, depending on therapy cost, may render tDNS a cost-effective, high-value intervention.

Study context

Population
Mechanically ventilated patients, US setting (RESCUE-3 randomised trial data and real-world claims data)
Comparison
Transvenous diaphragm neurostimulation (tDNS) vs standard of care (SoC) for ventilator weaning
Outcome
Stakeholder-specific incremental costs and QALY gain with tDNS
Methodological detailsexploratory, lifetime projection model, sensitivity analyses
  • Exploratory
  • Lifetime projection model
  • Sensitivity analyses

Main finding

As reported in the abstract

Projected cost savings with tDNS, acute setting (before tDNS cost)

$12,102

Projected cost savings with tDNS, long-term care hospital setting (before tDNS cost)

$11,999

Quality-adjusted life-year (QALYs) gained with tDNS over remaining lifetime

0.10-0.68

Further findings

Sensitivity analyses

Favorable cost savings across a range of clinical and cost assumptions

Original publication

Health-Economic Value of Transvenous Diaphragm Neurostimulation in Ventilator Weaning. Crit Care Med. Published 21 July 2026. doi:10.1097/ccm.0000000000007262

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

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