Costs of inadvertent perioperative hypothermia in Australia: A cost-of-illness study

Ralph, N; Gow, J; Conway, A; Duff, J; Edward, KL; Alexander, K; Bräuer, A

Costs of inadvertent perioperative hypothermia in Australia: A cost-of-illness study

Ralph, N

Gow, J Conway, A Duff, J Edward, KL Alexander, K Bräuer, A

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Publisher:: ELSEVIER
Publication Type:: Journal Article
Citation:: Collegian, 2020, 27, (4), pp. 345-351
Issue Date:: 2020-08-01

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Field	Value	Language
dc.contributor.author	Ralph, N https://orcid.org/0000-0002-7404-9996
dc.contributor.author	Gow, J
dc.contributor.author	Conway, A
dc.contributor.author	Duff, J
dc.contributor.author	Edward, KL
dc.contributor.author	Alexander, K
dc.contributor.author	Bräuer, A
dc.date.accessioned	2021-05-22T21:21:51Z
dc.date.available	2021-05-22T21:21:51Z
dc.date.issued	2020-08-01
dc.identifier.citation	Collegian, 2020, 27, (4), pp. 345-351
dc.identifier.issn	1322-7696
dc.identifier.issn	1876-7575
dc.identifier.uri	http://hdl.handle.net/10453/149065
dc.description.abstract	Background: A definitive cost analysis of preventing inadvertent perioperative hypothermia (IPH) in surgical patients in Australia is lacking. Preventing IPH is a common nurse-led initiative in surgery and cost savings represent the value of nursing care. Aim: The study aims are twofold. First, we aim to estimate the cost of the current prevalence of IPH in Australian hospitals. Second, is to estimate the potential cost reductions that could be realised by reducing IPH prevalence by using a thermal care bundle. Methods: Cost-of-illness analysis measures the economic burden of illness to society. It does so by identifying and measuring all costs of a disease or illness such as IPH. It was undertaken using a prevalence approach and a one-year time horizon. Findings: The annual costs of IPH to the Australian health system can be estimated to be $1,259,725,856. The annual net benefit of IPH prevention to the Australian health system is $602 million. Using a thermal care bundle to reduce IPH by actively warming 80% of the patients that are not warmed yet could save $657.1 million per year at the expense of $18.4 million. Discussion: Preventing IPH using active warming is estimated to lead to significant cost savings across the Australian health system. It is recommended that a national policy for preventing IPH is needed and guidelines must reflect up-to-date strategies for preventing IPH including active prewarming. Conclusion: The Thermal Care Bundle should be adopted to lower IPH incidence and associated costs in Australia.
dc.language	English
dc.publisher	ELSEVIER
dc.relation.ispartof	Collegian
dc.relation.isbasedon	10.1016/j.colegn.2019.10.003
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.title	Costs of inadvertent perioperative hypothermia in Australia: A cost-of-illness study
dc.type	Journal Article
utslib.citation.volume	27
utslib.for	1110 Nursing
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-05-22T21:21:49Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	27
utslib.citation.issue	4

Abstract:

Background: A definitive cost analysis of preventing inadvertent perioperative hypothermia (IPH) in surgical patients in Australia is lacking. Preventing IPH is a common nurse-led initiative in surgery and cost savings represent the value of nursing care. Aim: The study aims are twofold. First, we aim to estimate the cost of the current prevalence of IPH in Australian hospitals. Second, is to estimate the potential cost reductions that could be realised by reducing IPH prevalence by using a thermal care bundle. Methods: Cost-of-illness analysis measures the economic burden of illness to society. It does so by identifying and measuring all costs of a disease or illness such as IPH. It was undertaken using a prevalence approach and a one-year time horizon. Findings: The annual costs of IPH to the Australian health system can be estimated to be $1,259,725,856. The annual net benefit of IPH prevention to the Australian health system is $602 million. Using a thermal care bundle to reduce IPH by actively warming 80% of the patients that are not warmed yet could save $657.1 million per year at the expense of $18.4 million. Discussion: Preventing IPH using active warming is estimated to lead to significant cost savings across the Australian health system. It is recommended that a national policy for preventing IPH is needed and guidelines must reflect up-to-date strategies for preventing IPH including active prewarming. Conclusion: The Thermal Care Bundle should be adopted to lower IPH incidence and associated costs in Australia.

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http://hdl.handle.net/10453/149065