The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar
<h3>Background</h3><p dir="ltr">Evidence suggests that approximately 70% of patients are on antimicrobials, alarmingly half of these prescribed antimicrobials are deemed inappropriate. We evaluated the cost-benefit of the antimicrobial stewardship program (ASP) in the Hea...
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| مؤلفون آخرون: | , , , , , , , |
| منشور في: |
2023
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| _version_ | 1864513515205689344 |
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| author | Dina Abushanab (10696501) |
| author2 | Halima Saadia (18474702) Mariam Mustafa (11790812) Rasha Kaddoura (12506936) Binny Thomas (5801969) Palli Valappila Abdul Rouf (18472377) Wessam Elkassem (18472434) Moza Al Hail (2511859) Daoud Al-Badriyeh (832403) |
| author2_role | author author author author author author author author |
| author_facet | Dina Abushanab (10696501) Halima Saadia (18474702) Mariam Mustafa (11790812) Rasha Kaddoura (12506936) Binny Thomas (5801969) Palli Valappila Abdul Rouf (18472377) Wessam Elkassem (18472434) Moza Al Hail (2511859) Daoud Al-Badriyeh (832403) |
| author_role | author |
| dc.creator.none.fl_str_mv | Dina Abushanab (10696501) Halima Saadia (18474702) Mariam Mustafa (11790812) Rasha Kaddoura (12506936) Binny Thomas (5801969) Palli Valappila Abdul Rouf (18472377) Wessam Elkassem (18472434) Moza Al Hail (2511859) Daoud Al-Badriyeh (832403) |
| dc.date.none.fl_str_mv | 2023-11-20T12:00:00Z |
| dc.identifier.none.fl_str_mv | 10.57945/manara.25709301.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/conference_contribution/The_cost-benefit_associated_with_the_maturity_of_the_Antimicrobial_Stewardship_Program_versus_prematurity_in_Heart_Hospital_of_Hamad_Medical_Corporation_in_Qatar/25709301 |
| 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 Cardiovascular medicine and haematology Clinical sciences Economics Applied economics Health sciences Health services and systems Antimicrobials Cardiology Adults Maturity Economic impact Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |
| dc.title.none.fl_str_mv | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation 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">Evidence suggests that approximately 70% of patients are on antimicrobials, alarmingly half of these prescribed antimicrobials are deemed inappropriate. We evaluated the cost-benefit of the antimicrobial stewardship program (ASP) in the Heart Hospital, Qatar.</p><h3>Methods</h3><p dir="ltr">This retrospective study evaluated patients who received antimicrobial medications during the premature (P-ASP) and mature ASP (M-ASP) periods. The P-ASP period was the first 12 months immediately after ASP implementation (Jan-Dec 2016), while M-ASP period was the recent 12 months of ASP implementation (Feb 2020 - Jan 2021). The total economic benefit resulting from ASP maturity was calculated by combining the cost savings and cost avoidance attributed to the service and then subtracting the operational expenses.</p><h3>Results</h3><p dir="ltr">A total of 668 patients were included in the study (255 in P-ASP versus 413 in M-ASP). With M-ASP, cost of hospital tests use ‘decreased’ by QAR 1,149 per 100-patient beds per year, cost of ASP personnel ‘decreased’ by QAR 125 per 100-patient beds with the M-ASP, cost of drug use ‘increased’ by QAR 176,848 per 100-patient beds, cost of resistance and hospitalization ‘increased’ by QAR 216,279 per 100-patient beds per year. The overall relative M-ASP cost and benefits are QAR 393,127 and QAR 1,274 per 100-patient beds, respectively, and the net benefit is QAR -391,853 per 100-patient beds. Sensitivity analysis reported negative benefits in 100% of simulated cases (Figure 1). The most contributing factor was the cost of hospitalization stay (Figure 2).</p><h3>Conclusions</h3><p dir="ltr">M-ASP was associated with decreased operational and resource costs, but this was outweighed by increased costs of resistance and drug use, which could be due to higher sample size in the M-ASP. Also, varying compliance with preventive measures, such as focusing on limiting patient-to-patient spread of multidrug resistant organisms, which was not addressed in this study, would contribute substantially to wide-ranging improvements in cost reductions.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_f2388fe4fd2f633a28de39666eeac653 |
| identifier_str_mv | 10.57945/manara.25709301.v1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25709301 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in QatarDina Abushanab (10696501)Halima Saadia (18474702)Mariam Mustafa (11790812)Rasha Kaddoura (12506936)Binny Thomas (5801969)Palli Valappila Abdul Rouf (18472377)Wessam Elkassem (18472434)Moza Al Hail (2511859)Daoud Al-Badriyeh (832403)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesEconomicsApplied economicsHealth sciencesHealth services and systemsAntimicrobialsCardiologyAdultsMaturityEconomic impactQatar Health Congress 2023 and the 3rd Qatar Public Health Conference<h3>Background</h3><p dir="ltr">Evidence suggests that approximately 70% of patients are on antimicrobials, alarmingly half of these prescribed antimicrobials are deemed inappropriate. We evaluated the cost-benefit of the antimicrobial stewardship program (ASP) in the Heart Hospital, Qatar.</p><h3>Methods</h3><p dir="ltr">This retrospective study evaluated patients who received antimicrobial medications during the premature (P-ASP) and mature ASP (M-ASP) periods. The P-ASP period was the first 12 months immediately after ASP implementation (Jan-Dec 2016), while M-ASP period was the recent 12 months of ASP implementation (Feb 2020 - Jan 2021). The total economic benefit resulting from ASP maturity was calculated by combining the cost savings and cost avoidance attributed to the service and then subtracting the operational expenses.</p><h3>Results</h3><p dir="ltr">A total of 668 patients were included in the study (255 in P-ASP versus 413 in M-ASP). With M-ASP, cost of hospital tests use ‘decreased’ by QAR 1,149 per 100-patient beds per year, cost of ASP personnel ‘decreased’ by QAR 125 per 100-patient beds with the M-ASP, cost of drug use ‘increased’ by QAR 176,848 per 100-patient beds, cost of resistance and hospitalization ‘increased’ by QAR 216,279 per 100-patient beds per year. The overall relative M-ASP cost and benefits are QAR 393,127 and QAR 1,274 per 100-patient beds, respectively, and the net benefit is QAR -391,853 per 100-patient beds. Sensitivity analysis reported negative benefits in 100% of simulated cases (Figure 1). The most contributing factor was the cost of hospitalization stay (Figure 2).</p><h3>Conclusions</h3><p dir="ltr">M-ASP was associated with decreased operational and resource costs, but this was outweighed by increased costs of resistance and drug use, which could be due to higher sample size in the M-ASP. Also, varying compliance with preventive measures, such as focusing on limiting patient-to-patient spread of multidrug resistant organisms, which was not addressed in this study, would contribute substantially to wide-ranging improvements in cost reductions.</p>2023-11-20T12:00:00ZTextConference contributioninfo:eu-repo/semantics/publishedVersiontextconference object10.57945/manara.25709301.v1https://figshare.com/articles/conference_contribution/The_cost-benefit_associated_with_the_maturity_of_the_Antimicrobial_Stewardship_Program_versus_prematurity_in_Heart_Hospital_of_Hamad_Medical_Corporation_in_Qatar/25709301CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257093012023-11-20T12:00:00Z |
| spellingShingle | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar Dina Abushanab (10696501) Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Economics Applied economics Health sciences Health services and systems Antimicrobials Cardiology Adults Maturity Economic impact Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |
| status_str | publishedVersion |
| title | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar |
| title_full | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar |
| title_fullStr | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar |
| title_full_unstemmed | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar |
| title_short | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar |
| title_sort | The cost-benefit associated with the maturity of the Antimicrobial Stewardship Program versus prematurity in Heart Hospital of Hamad Medical Corporation in Qatar |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Economics Applied economics Health sciences Health services and systems Antimicrobials Cardiology Adults Maturity Economic impact Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |