Return on Investment Calculator
IAH monitoring plus protocol intervention (primarily bedside interventions) leads to more rapid mobilization of total body fluid overload by improving renal perfusion. This results in reduced pressure on the diaphragms leading to earlier weaning from the ventilator on average 4 fewer ventilator days and about 4.5 fewer ICU days in this very ill subset of patients. There is also reduced organ dysfunction, especially renal failure. The simplest calculation is looking at ICU daily costs, though more sophisticated calculations can be made for reduced costs of dialysis, fewer vent days, fewer VAP complications, etc. While not all the reductions in LOS can be attributed to treating the IAH, it is certainly a major factor and probably accounts for most of the reduction in length of stay.
The ROI calculator to the right provides hospital personnel the ability to calculate costs savings that can be derived at their institution by monitoring and managing intra-abdominal hypertension. Starting at the top of the calculator fill in the information requested. You can use numbers specific to your hospital or national averages that can be found at the bottom of the calculator under the assumptions section.
1) Data indicates the national average for ICU admissions is 1,250
2) Data indicates the average size hospitals admits 1,285 patients to the ICU on an annual basis.
3) Data indicates 10% of SICU patients are monitored for Intra-abdominal Hypertension. This rate typically increases over time with protocol implementation and as clinicians become well versed in the disease process.
4) Nationally the charges per day for a ventilated patient in the ICU ranges from $1,700 to $4,000. A cost of $2,850 is used for this analysis.
5) Clinical data supports length of stay for critically ill patients at risk for IAH can be reduced by 4 days.
6) AbViser IAP disposable monitoring device cost $85 per patient.
Patients at risk for Intra-Abdominal Hypertention include: Sepsis/Sir, Pancreatitis, Ascites, Trauma, Burns, Abdominal Surgery, AAA, Bowel Obstruction, Peritonitis and Ischemia