An Early-Stage Decision-Analytic Health Economic Model of Above Cuff Vocalization: What Do We Know and What Do We Need to Resolve?

ABSTRACT:

Objectives

Above cuff vocalization (ACV) is used in patients with a tracheostomy in the ICU despite limited evidence. This early-stage decision-analytic model (DAM) for ACV evaluates the expected cost-effectiveness exploring the impact of uncertainty to identify key drivers of cost and effect and critical further research priorities.

Perspective

U.K. National Health Service.

Setting

Hypothetical cohort of general ICU patients with a tracheostomy, 63 years old, 64% male.

Methods

A de novo decision-analytic health economic model comparing ACV to usual care (UC). Model parameters were acquired from the literature review and expert opinion. One-way sensitivity analyses were conducted to identify key drivers of cost-effectiveness.

Results

The daily cost of AC

SUBMITTER: Mills CS 

PROVIDER: S-EPMC12688854 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature