Impact of Single-Patient Use Electrocardiogram Monitoring in the Cost of Care and Infection Prevention of CABG Surgery Patients in Canada
Author(s)
Carla Fernandez Barceló, MPH1, Maximilian Blüher, MSc1, Ubong Silas, MSc1, Alex Veloz, MSc2, Rhodri Saunders, BSc, MSc, PhD1.
1Coreva Scientific GmbH & Co KG, Koenigswinter, Germany, 2HEOR Pro, Chicago, IL, USA.
1Coreva Scientific GmbH & Co KG, Koenigswinter, Germany, 2HEOR Pro, Chicago, IL, USA.
Presentation Documents
OBJECTIVES: In Canada, over 15.000 Coronary Artery Bypass Graft (CABG) surgeries are performed yearly. Sternal wound infections (SWI) following CABG are burdensome to patients and health systems. Single-patient use electrocardiogram (SPU-ECG) cable and lead systems could help reduce this burden by preventing cross-contamination. This study assessed the budget impact of implementing SPU-ECG for CABG patients in Canada.
METHODS: A budget impact analysis was carried out based on an already published Markov model. A cohort of patients was modelled to move between states depending on the setting (ICU/general ward/home), mechanical ventilation status, infection status (none/superficial SWI/deep SWI) and death. For the base case analysis, cost of care for 15.000 CABG patients over 5 years was estimated using the latest available literature data, inflated to 2023 CAD. Additional length of stay (LOS), readmissions, and costs were considered as indicators for SWI-related burden.
RESULTS: The patient population had mean age of 66 years and was 25.5% female. The model estimated the total cost of care for the standard of care and SPU-ECG as CAD1,073,458,331 and CAD1,067,714,455, respectively. The annual savings of CAD7,101,541 (95%CI CAD3,560,592 - CAD12,963,238) were driven by fewer SWIs, resulting in reduced LOS and fewer readmissions. The results were most sensitive to additional days due to deep SWI, costs of general ward and readmission rates of deep SWI.
CONCLUSIONS: This budget impact analysis suggests that the use of single-patient use electrocardiogram in Canada could provide cost-savings in reducing the burden of SWIs related to CABG surgery.
METHODS: A budget impact analysis was carried out based on an already published Markov model. A cohort of patients was modelled to move between states depending on the setting (ICU/general ward/home), mechanical ventilation status, infection status (none/superficial SWI/deep SWI) and death. For the base case analysis, cost of care for 15.000 CABG patients over 5 years was estimated using the latest available literature data, inflated to 2023 CAD. Additional length of stay (LOS), readmissions, and costs were considered as indicators for SWI-related burden.
RESULTS: The patient population had mean age of 66 years and was 25.5% female. The model estimated the total cost of care for the standard of care and SPU-ECG as CAD1,073,458,331 and CAD1,067,714,455, respectively. The annual savings of CAD7,101,541 (95%CI CAD3,560,592 - CAD12,963,238) were driven by fewer SWIs, resulting in reduced LOS and fewer readmissions. The results were most sensitive to additional days due to deep SWI, costs of general ward and readmission rates of deep SWI.
CONCLUSIONS: This budget impact analysis suggests that the use of single-patient use electrocardiogram in Canada could provide cost-savings in reducing the burden of SWIs related to CABG surgery.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
MT18
Topic
Medical Technologies
Disease
SDC: Infectious Disease (non-vaccine), STA: Surgery