Table 31Extended hours for consultants in AMU versus baseline (per 1000 AMU patients)

BaselineInterventionIncrement (intervention minus baseline)
Intervention
Proportion arriving in service hours54.10%78.03%23.93%
Intervention cost per patient receiving intervention£47.87£48.67£0.80
Intervention cost (£)£25,896£37,979£12,082.43
Resource impact
Admissions100010000.00
Bed days63506341−9.21
ICU/HDU referrals33−0.04
Cost impact
Stay costs (£)£1,878,340£1,875,616−£2,723.77
ICU/HDU costs (£)£0−£187−£186.95
Post-discharge costs (£)£1,898,078£1,898,161£83.01
Health outcomes
Deaths in AMU99−0.09
Deaths in 30 days89.970090−0.07
Life-years10455104560.33
Cost effectiveness
Total costs (£)£3,802,314£3,811,568£9,254.73
Quality-adjusted life-years7,456.577,456.770.20
Incremental cost per QALY gained (£)--£45,519.38

From: Chapter 41, Cost-effectiveness analyses

Cover of Emergency and acute medical care in over 16s: service delivery and organisation
Emergency and acute medical care in over 16s: service delivery and organisation.
NICE Guideline, No. 94.
National Guideline Centre (UK).
Copyright © NICE 2018.

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