Acute kidney injury (AKI) is linked to elevated healthcare usage and greater expenses. The Tackling AKI study, a pragmatic, multicenter, stepped-wedge cluster randomized trial, showcased a decrease in hospital length of stay following the introduction of a comprehensive AKI intervention (featuring e-alerts, care bundle, and an education program). Our aim was to assess whether these changes would translate into cost reductions.
In the article, our team utilized a decision-analytic tree model from the payer perspective (National Health Service in the United Kingdom). We performed cost-effectiveness analyses using a probabilistic sensitivity analysis, accounting only for direct medical costs, and leveraged clinical data from the Tackling AKI study, including inputs and economic and utility data derived from relevant published literature.
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