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Health technology assessment of intensive care ventilators for pediatric patients
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Andellini, Martina, Faggiano, Francesco, Picardo, Sergio Giuseppe, Testa, Giuseppina, Perrotta, Daniela, Bianchi, Roberto, Nocchi, Federico, Capussotto, Carlo, Bassanelli, Elena, Derrico, Pietro, Pirozzi, Nicola, Pecchia, Leandro and Ritrovato, Matteo (2021) Health technology assessment of intensive care ventilators for pediatric patients. Children, 8 (11). 986. doi:10.3390/children8110986
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Official URL: http://dx.doi.org/10.3390/children8110986
Abstract
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.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Engineering > Engineering | ||||||
| Library of Congress Subject Headings (LCSH): | Respiratory intensive care, Respirators (Medical equipment) , Respirators (Medical equipment) -- Classification, Intensive care units , Intensive care units -- Standards , Pediatrics , Medical technology -- Standards -- Evaluation, Medical technology -- Decision making | ||||||
| Journal or Publication Title: | Children | ||||||
| Publisher: | MDPI | ||||||
| ISSN: | 2227-9067 | ||||||
| Official Date: | 1 November 2021 | ||||||
| Dates: |
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| Volume: | 8 | ||||||
| Number: | 11 | ||||||
| Article Number: | 986 | ||||||
| DOI: | 10.3390/children8110986 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access |
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