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Table 2 Cost-effectiveness results for sepsis interventions

From: Health economic evaluations of sepsis interventions in critically ill adult patients: a systematic review

 

Cost/LS (2018 USD)

Cost/LYG (2018 USD)

Cost/QALY (2018 USD)

Intervention

n (%)

Range

n (%)

Range

n (%)

Range

Antibiotic therapies

1 (20%)

$70,663/LS

2 (40%)

$5,797/LYG to $25,565/LYG

1 (20%)

$39,944/QALY

Fluid therapies

1 (50%)

$8,211/LS

1 (50%)

Dominant to $839/LYG

0 (0%)

Not reported

Procalcitonin algorithms

0 (0%)

Not reported

0 (0%)

Not reported

2 (67%)

Dominant

Immunoglobulin therapies

1 (50%)

$15,738/LS

0 (0%)

Not reported

1 (50%)

$34,362/QALY

EGDT or other sepsis protocol

3 (38%)

Dominant to $80,852/LS

3 (38%)

$5,787/LYG to $14,981/LYG

5 (63%)

Dominant to $21,691/QALY

Pathogen identification

1 (25%)

$16,789/LS

0 (0%)

Not reported

2 (50%)

$2,199/QALY to Dominated

Other therapies

1 (50%)

$4,029/LS

0 (0%)

Not reported

1 (50%)

$34,984/QALY

Interventions no longer in clinical practice

 Drotecogin alfa (activated)

3 (23%)

$79,418/LS to $233,600/LS

10 (77%)

$2,696/LYG to $48,618/LYG

9 (69%)

$3,901/QALY to $71,248/QALY

 Monoclonal antibodies

4 (57%)

$24,719/LS to $379,579/LS

3 (43%)

$2,679/LYG to $1,830,283/LYG

0 (0%)

Not reported

  1. EGDT early goal directed therapy, LS life saved, LYG life years gained, QALY quality-adjusted life year, USD United States dollar