- Poster presentation
- Open Access
Hospital costs of extracorporeal life support therapy
- WM van den Bergh1 and
- Dutch ECLS Study Group
© van den Bergh et al.; 2015
- Published: 1 October 2015
- Hospital Cost
- Reference Price
- Consecutive Adult Patient
- Total Hospital Cost
- Unit Prex
Extracorporeal life support (ECLS) seems an efficient therapy for acute, potentially reversible cardiac or respiratory failure, when conventional therapy has been inadequate, or as bridge to transplant, but there is no evidence for cost-effectiveness. Our aim was to conduct an exploration of the hospital costs of ECLS therapy.
Single-center retrospective exploratory cohort cost study. The study is performed from a hospital perspective with a time horizon of patients' complete hospital admission in which they received ECLS.
All 67 consecutive adult patients who were admitted to the ICU of the University Medical Center Groningen (the Netherlands) in the period 2010 to 2013 and received ECLS treatment were included. The bottom-up micro costing method was used. Medical costs were estimated by multiplying every registered healthcare consumption with unit prices. Unit prices were largely based on Dutch reference prices. For each patient the personnel costs and material costs were assessed in detail. The costs of ECLS were differentiated in costs of procedures and costs of daily surcharge of therapy. Procedure related costs were subdivided in costs of devices and disposables, costs of additional human resources and surgery hours.
In order to estimate costs of ECLS therapy based on indication all patients were categorized into six different subgroups: respiratory - bridge to recovery, respiratory - bridge to transplant, cardiac - bridge to recovery, cardiac - bridge to transplant, cardiac - post-cardiotomy, and ECPR.
Mean total hospital cost (€)
Mean cost per hospital day (€)
respiratory - bridge to recovery
respiratory - bridge to transplant
cardiac - bridge to recovery
cardiac - bridge to bridge/transplant
cardiac - post cardiotomy
This large and detailed economic evaluation of hospital costs of ECLS therapy in the Netherlands showed that mean total hospital cost of ECLS treatment are €106.263 per patient. The majority of the costs are composed of hospital nursing days.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.