Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients

Children

Carlo Capussotto¹  Federico Nocchi¹  Roberto Bianchi²  Sergio Giuseppe Picardo²  Daniela Perrotta²  Francesco Faggiano³  Martina Andellini³  Matteo Ritrovato³  Elena Bassanelli⁴  Pietro Derrico⁴  Giuseppina Testa⁵  Nicola Pirozzi⁶  Leandro Pecchia⁷ 

[1] Clinical Engineering Department, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;Department of Anesthesia and Critical Care, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;HTA Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;HTA and Safety Research Unit, Scientific Directorate, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;Paediatric Cardiac Anesthesia and Intensive Care Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;Paediatric Emergency Department, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;School of Engineering, University of Warwick, Coventry CV4 7AL, UK;

关键词: intensive care ventilator;    intensive care unit;    pediatric;    HTA;    hospital decision making;    multi criteria decision analysis;   

DOI  :  10.3390/children8110986

来源: DOAJ

【 摘 要 】

This paper is aimed at addressing all the critical aspects linked to the implementation of intensive care ventilators in a pediatric setting, highlighting the most relevant technical features and describing the methodology to conduct health technology assessment (HTA) for supporting the decision-making process. Four ventilator models were included in the assessment process. A decision-making support tool (DoHTA method) was applied. Twenty-eight Key Performance Indicators (KPIs) were identified, defining the safety, clinical effectiveness, organizational, technical, and economic aspects. The Performance scores of each ventilator have been measured with respect to KPIs integrated with the total cost of ownership analysis, leading to a final rank of the four possible technological solutions. The final technologies’ performance scores reflected a deliver valued, contextualized, and shared outputs, detecting the most performant technological solution for the specific hospital context. HTA results had informed and supported the pediatric hospital decision-making process. This study, critically identifying the pros and cons of innovative features of ventilators and the evaluation criteria and aspects to be taken into account during HTA, can be considered as a valuable proof of evidence as well as a reliable and transferable method for conducting decision-making processes in a hospital context.

【 授权许可】

Unknown