Perioperative medicine & outcomes

The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients

Anesth AnalgPublished Cost-effectiveness analysis

Authors' conclusion

Early high-acuity care for approximately 24 hours after surgery in medium-risk patients provides highly cost-effective improvements in outcomes when compared to usual ward care.

Study context

Population
Medium-risk surgical patients
Exposure
Advanced recovery room care (ARRC) vs usual ward care
Outcome
Incremental cost-effectiveness ratio (ICER) using DAH and hospital costs
Follow-up
First 90 days after surgery
Methodological detailsMarkov model, deterministic and probabilistic sensitivity analysis, data from single-centre prospective cohort study
  • Markov model
  • Deterministic and probabilistic sensitivity analysis
  • Data from single-centre prospective cohort study

Main finding

As reported in the abstract

DAH and hospital costs per patient

More days at home (DAH) with ARRC per patient

4.3

Decrease in overall hospital costs with ARRC per patient

$1081

Observational data: associations, not effects.

Further findings

Probabilistic sensitivity analysis

Probability ARRC increased DAH
99.3%
Probability ARRC dominant (hospital perspective; improved outcomes and decreased costs)
77.4%

Original publication

The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients. Anesth Analg. Published 27 November 2023. doi:10.1213/ane.0000000000006743

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