Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar

<h3>Background</h3><p dir="ltr">Implementing Antimicrobial Stewardship (ASP) can result in substantial financial costs. This study aimed to determine the economic impact of ASP maturity in our hospital’s surgical ward settings. </p><h3>Methods</h3><p...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Nurhan Elshafey (18472387) (author)
مؤلفون آخرون: Dina Abushanab (10696501) (author), Rana Mekkawi (18472390) (author), Moza Al Hail (2511859) (author), Palli Valappila Abdul Rouf (18472392) (author), Wessam El Kassem (9140002) (author), Binny Thomas (5801969) (author), Daoud Al-Badriyeh (832403) (author)
منشور في: 2024
الموضوعات:
الوسوم: إضافة وسم
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_version_ 1864513514080567296
author Nurhan Elshafey (18472387)
author2 Dina Abushanab (10696501)
Rana Mekkawi (18472390)
Moza Al Hail (2511859)
Palli Valappila Abdul Rouf (18472392)
Wessam El Kassem (9140002)
Binny Thomas (5801969)
Daoud Al-Badriyeh (832403)
author2_role author
author
author
author
author
author
author
author_facet Nurhan Elshafey (18472387)
Dina Abushanab (10696501)
Rana Mekkawi (18472390)
Moza Al Hail (2511859)
Palli Valappila Abdul Rouf (18472392)
Wessam El Kassem (9140002)
Binny Thomas (5801969)
Daoud Al-Badriyeh (832403)
author_role author
dc.creator.none.fl_str_mv Nurhan Elshafey (18472387)
Dina Abushanab (10696501)
Rana Mekkawi (18472390)
Moza Al Hail (2511859)
Palli Valappila Abdul Rouf (18472392)
Wessam El Kassem (9140002)
Binny Thomas (5801969)
Daoud Al-Badriyeh (832403)
dc.date.none.fl_str_mv 2024-05-26T10:47:50Z
dc.identifier.none.fl_str_mv 10.57945/manara.25709298.v1
dc.relation.none.fl_str_mv https://figshare.com/articles/conference_contribution/Cost-Benefit_Analysis_of_Antimicrobial_Stewardship_Program_Maturity_in_Adult_Surgical_Ward_Settings_A_Retrospective_Study_in_Qatar/25709298
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Pharmacology and pharmaceutical sciences
Economics
Applied economics
Antimicrobial
Surgery
Adults
Maturity
Economic impact
Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference
dc.title.none.fl_str_mv Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
dc.type.none.fl_str_mv Text
Conference contribution
info:eu-repo/semantics/publishedVersion
text
conference object
description <h3>Background</h3><p dir="ltr">Implementing Antimicrobial Stewardship (ASP) can result in substantial financial costs. This study aimed to determine the economic impact of ASP maturity in our hospital’s surgical ward settings. </p><h3>Methods</h3><p dir="ltr">This retrospective study evaluated patients who received antimicrobials during two periods; the premature ASP period was defined as the first 12 months following the implementation of ASP (May 2015-April 2016). While the mature ASP period was the most recent 12 months of ASP implementation in the hospital (February 2019-January 2020). The total economic benefit of ASP maturity was calculated by combining the cost savings and cost avoidance, minus the operational expenses.3 The cost savings were the reduced cost of therapy associated with an assumed reduction in defined daily dose (DDD) and resource utilization. Cost avoidance was the cost avoided by reducing length of hospitalization and adverse drug events (ADEs). Operational costs included the expenses of the ASP service. Secondary outcomes included ADEs, mortality, length of hospital stay, and hospital readmission.</p><h3> Results</h3><p dir="ltr">The study included 108 patients in the premature ASP period and 88 in the mature ASP period. There was an increase in total costs for DDDs and resource utilization, amounting to QAR 163,002. However, in the mature ASP period, the total operational cost was lower compared to the premature ASP period, with a cost saving of QAR 12,477. There were more readmission cases in the premature ASP period (9.3%) compared to the mature period (2.7%). The initial length of hospital stay was longer in the mature ASP, with an average of 20 days, compared to 12 days in the premature ASP. No statistically significant differences were found in terms of mortality or ADEs. </p><h3>Conclusions</h3><p dir="ltr">Our findings indicate that while immediate financial benefits may not be evident initially, implementing an ASP system can ultimately result in notable cost reductions over time.</p>
eu_rights_str_mv openAccess
id Manara2_a25eb6970113bc5f98eccef7e5657401
identifier_str_mv 10.57945/manara.25709298.v1
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25709298
publishDate 2024
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spelling Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in QatarNurhan Elshafey (18472387)Dina Abushanab (10696501)Rana Mekkawi (18472390)Moza Al Hail (2511859)Palli Valappila Abdul Rouf (18472392)Wessam El Kassem (9140002)Binny Thomas (5801969)Daoud Al-Badriyeh (832403)Biomedical and clinical sciencesClinical sciencesPharmacology and pharmaceutical sciencesEconomicsApplied economicsAntimicrobialSurgeryAdultsMaturityEconomic impactQatar Health Congress 2023 and the 3rd Qatar Public Health Conference<h3>Background</h3><p dir="ltr">Implementing Antimicrobial Stewardship (ASP) can result in substantial financial costs. This study aimed to determine the economic impact of ASP maturity in our hospital’s surgical ward settings. </p><h3>Methods</h3><p dir="ltr">This retrospective study evaluated patients who received antimicrobials during two periods; the premature ASP period was defined as the first 12 months following the implementation of ASP (May 2015-April 2016). While the mature ASP period was the most recent 12 months of ASP implementation in the hospital (February 2019-January 2020). The total economic benefit of ASP maturity was calculated by combining the cost savings and cost avoidance, minus the operational expenses.3 The cost savings were the reduced cost of therapy associated with an assumed reduction in defined daily dose (DDD) and resource utilization. Cost avoidance was the cost avoided by reducing length of hospitalization and adverse drug events (ADEs). Operational costs included the expenses of the ASP service. Secondary outcomes included ADEs, mortality, length of hospital stay, and hospital readmission.</p><h3> Results</h3><p dir="ltr">The study included 108 patients in the premature ASP period and 88 in the mature ASP period. There was an increase in total costs for DDDs and resource utilization, amounting to QAR 163,002. However, in the mature ASP period, the total operational cost was lower compared to the premature ASP period, with a cost saving of QAR 12,477. There were more readmission cases in the premature ASP period (9.3%) compared to the mature period (2.7%). The initial length of hospital stay was longer in the mature ASP, with an average of 20 days, compared to 12 days in the premature ASP. No statistically significant differences were found in terms of mortality or ADEs. </p><h3>Conclusions</h3><p dir="ltr">Our findings indicate that while immediate financial benefits may not be evident initially, implementing an ASP system can ultimately result in notable cost reductions over time.</p>2024-05-26T10:47:50ZTextConference contributioninfo:eu-repo/semantics/publishedVersiontextconference object10.57945/manara.25709298.v1https://figshare.com/articles/conference_contribution/Cost-Benefit_Analysis_of_Antimicrobial_Stewardship_Program_Maturity_in_Adult_Surgical_Ward_Settings_A_Retrospective_Study_in_Qatar/25709298CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257092982024-05-26T10:47:50Z
spellingShingle Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
Nurhan Elshafey (18472387)
Biomedical and clinical sciences
Clinical sciences
Pharmacology and pharmaceutical sciences
Economics
Applied economics
Antimicrobial
Surgery
Adults
Maturity
Economic impact
Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference
status_str publishedVersion
title Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
title_full Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
title_fullStr Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
title_full_unstemmed Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
title_short Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
title_sort Cost-Benefit Analysis of Antimicrobial Stewardship Program Maturity in Adult Surgical Ward Settings: A Retrospective Study in Qatar
topic Biomedical and clinical sciences
Clinical sciences
Pharmacology and pharmaceutical sciences
Economics
Applied economics
Antimicrobial
Surgery
Adults
Maturity
Economic impact
Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference