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Related Experiment Video

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High Throughput Analysis of Liquid Droplet Impacts

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Published on: March 6, 2020

Financial Impact of Incentive Spirometry.

Adam E M Eltorai¹, Grayson L Baird^1,2, Joshua Pangborn¹

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

Inquiry : a Journal of Medical Care Organization, Provision and Financing

|September 4, 2018

Summary

Incentive spirometry (IS) is costly to implement, with an estimated annual cost of over $1 billion in the US. Further studies are needed to justify the expense of this widely used intervention.

Keywords:

health care costs incentive spirometry inpatients length of stay motivation nursing postoperative period respiratory function tests respiratory therapy spirometry surveys and questionnaires treatment outcome workload

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Area of Science:

Healthcare Economics
Pulmonary Medicine
Postoperative Care

Background:

Incentive spirometry (IS) is a common intervention used to prevent postoperative pulmonary complications.
The clinical effectiveness of IS remains largely unproven.
There is a need to evaluate the economic impact of IS implementation.

Purpose of the Study:

To assess the financial implications of implementing incentive spirometry in a postoperative setting.
To estimate the per-patient and total annual costs associated with IS use.

Main Methods:

A combination of an online national survey of nurses and respiratory therapists (RTs) and a 4-week prospective data collection in a cardiothoracic surgery step-down unit.
Calculation of costs based on the time spent by nurses and RTs for IS-related activities, including patient education and reminders.
Estimation of per-patient and national annual costs.

Main Results:

Per-patient implementation costs ranged from $65.30 to $240.96 for a 9-day stay.
For a 4.5-day hospital stay, the per-patient cost was estimated at $107.36.
The total estimated annual cost for implementing IS in the US is $1.04 billion.

Conclusions:

The cost of implementing incentive spirometry is substantial.
Further research on the clinical efficacy of IS is required to determine if the significant costs are justifiable.
Economic evaluations are crucial for widely adopted but unproven medical interventions.