Evaluation of economic value of near-infrared spectroscopy for regional cerebral and tissue oxygen saturation monitoring in cardiac surgery
10.19745/j.1003-8868.2024240
- VernacularTitle:近红外光局部脑氧与组织氧饱和度监测在心脏外科手术中应用的经济价值评估
- Author:
Bao-ying TAN
1
;
Hao-rui CHEN
;
Hai YU
;
Jian-wei XUAN
Author Information
1. 中山大学药学院医药经济研究所,广州 510006
- Publication Type:Journal Article
- Keywords:
cardiac surgery;
near-infrared spectroscopy;
regional cerebral and tissue oxygen saturation monitoring;
medical economics;
economic evaluation;
noninvasive cerebral monitoring
- From:
Chinese Medical Equipment Journal
2024;45(12):82-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the cost-effectiveness of near-infrared spectroscopy for regional cerebral and tissue oxygen saturation monitoring(NIRS)during cardiac surgery.Methods From the perspective of China's healthcare system,a short-term decision tree model was developed using Microsoft Excel to evaluate the perioperative health outcomes and costs of cardiac surgery patients using NIRS compared to those without using NIRS(non-NIRS).Clinical data were derived from published meta-analysis literature,and cost data were sourced from published literature and expert survey.The model output metrics involved in quality-adjusted life years(QALYs),number of postoperative complication events and cost.One-way and probability sensitivity analyses were applied to validating the robustness of results.Results Basic case analysis showed that compared to non-NIRS in cardiac surgery,using NIRS monitoring increased 0.001 5 QALYs while avoiding 0.27 person-time postoperative complications(including postoperative delirium,postoperative cognitive impairment,acute kidney injury and death),reducing 1.61 days of general ward stay and 0.41 days of ICU stay and resulting in a total cost savings of 2 425.30 CNY per treatment.Sensitivity analysis demonstrated the robustness of results.Conclusion NIRS monitoring has significant clini-cal and economic values in reducing postoperative complications and lowering medical costs in cardiac surgery.[Chinese Medical Equipment Journal,2024,45(12):82-88]
