Perioperative medicine & outcomes
The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients
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
Composed by AI from the published abstract and checked against it. How Briefs are made →