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Title: A systematic scoping review of the cost-impact of ventilator-associated pneumonia (VAP) intervention bundles in intensive care.
Epworth Authors: Khaw, Damien
Other Authors: Ladbrook, Elyse
Bouchoucha, St├ęphane
Hutchinson, Anastasia
Keywords: Cost-benefit
Critical Care
Patient Care Bundles
Ventilator-associated Pneumonia
Deakin University, Centre for Quality and Patient Safety Research, Epworth-Deakin Partnership and School of Nursing & Midwifery, Burwood, Victoria
Critical Care Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: 7-Dec-2020
Publisher: Elsevier
Abstract: Background: Evidence-based economic decision making is key in health care. Presently, however, studies reporting financial outcomes of ventilator-associated pneumonia (VAP) care bundles have not been systematically evaluated. Method: This scoping review investigated the characteristics and findings of studies of the economic impact of VAP bundle implementation. A systematic search of electronic databases (MEDLINE, CINAHL) for relevant English language studies was undertaken (January 2000-February 2020). Methodological quality was evaluated using a Joanna Briggs Institute quality appraisal checklist. Article screening and quality appraisals were performed by 2 reviewers. Reference lists of included studies were hand-searched for additional articles. Reporting followed PRISMA Extension for Scoping Reviews (PRISMA-ScR) standards. Results: From 181 citations, 10 articles met inclusion criteria. Eight studies evaluated cost impacts on acute care and there were 2 cost-modeling studies. Results consistently indicated that effective VAP bundle implementation decreased healthcare costs. However, studies were heterogeneous with respect to research methods and objectives and were judged to have a moderate-to-high risk of bias. Discussion: Effective implementation of VAP care bundles was associated with superior clinical and economic outcomes. However, despite finding a moderate volume of research, study heterogeneity inhibited strong conclusions being drawn regarding the degree of associated cost savings. Conclusion: Additional research involving multisite/multijurisdiction studies using experimental designs are needed to progress the field and overcome gaps in the existing literature.
DOI: 10.1016/j.ajic.2020.11.027
PubMed URL:
ISSN: 0196-6553
Journal Title: American Journal of Infection Control
Type: Journal Article
Affiliated Organisations: The University of Canberra, Canberra
Deakin University, Centre for Quality and Patient Safety Research, School of Nursing & Midwifery, Burwood, Victoria
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Critical Care

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