Financial Impact of Incentive Spirometry

Author:

Eltorai Adam E. M.1ORCID,Baird Grayson L.12,Pangborn Joshua1,Eltorai Ashley Szabo3,Antoci Valentin1,Paquette Katherine4,Connors Kevin2,Barbaria Jacqueline2,Smeals Kimberly J.2,Riley Barbara2,Patel Shyam A.1,Agarwal Saurabh1,Healey Terrance T.1,Ventetuolo Corey E.12,Sellke Frank W.1,Daniels Alan H.1

Affiliation:

1. The Warren Alpert Medical School of Brown University, Providence, RI, USA

2. Rhode Island Hospital, Providence, USA

3. Yale University, New Haven, CT, USA

4. The University of Rhode Island, Providence, USA

Abstract

Despite largely unproven clinical effectiveness, incentive spirometry (IS) is widely used in an effort to reduce postoperative pulmonary complications. The objective of the study is to evaluate the financial impact of implementing IS. The amount of time nurses and RTs spend each day doing IS-related activities was assessed utilizing an online survey distributed to the relevant national nursing and respiratory therapists (RT) societies along with questionnaire that was prospectively collected every day for 4 weeks at a single 10-bed cardiothoracic surgery step-down unit. Cost of RT time to teach IS use to patients and cost of nurse time spent reeducating and reminding patients to use IS were used to calculate IS implementation cost estimates per patient. Per-patient cost of IS implementation ranged from $65.30 to $240.96 for a mean 9-day step-down stay. For the 566 patients who stayed in the 10-bed step-down in 2016, the total estimated cost of implementing IS ranged from $36 959.80 to $136 383.36. Using national survey workload data, per-patient cost of IS implementation costed $107.36 (95% confidence interval [CI], $97.88-$116.98) for a hospital stay of 4.5 days. For the 9.7 million inpatient surgeries performed annually in the United States, the total annual cost of implementing postoperative IS is estimated to be $1.04 billion (95% CI, $949.4 million-$1.13 billion). The cost of implementing IS is substantial. Further efficacy studies are necessary to determine whether the cost is justifiable.

Publisher

SAGE Publications

Subject

Health Policy

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