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Table 2 Cost inputs

From: Ticagrelor Removal by CytoSorb® in Patients Requiring Emergent or Urgent Cardiac Surgery: A UK-Based Cost-Utility Analysis

Variable

Base-case value

Distribution

Lower limit

Upper limit

Source

Cost of interventions

 Unit cost of operating theatre per min (£)

20.00

Gamma

8.80

28.70

NHS [25, 27]

 Unit cost of postoperative hospital stay in the ICU (£)

1449.40

Gamma

1087.00

1811.70

NHS reference cost 2017/2018 [28]

 Unit cost of postoperative hospital stay in cardiac the ward (£)

305.00

Gamma

228.80

381.30

NHS reference cost 2017/2018 [28]

 Cost of CytoSorb [materials and labour costs] (£)

1500.00

Fixed

NA

NA

Cytosorbents

Pre-CABG

 Unit cost of bed days while waiting for physiologic clearance of ticagrelor (£)

305.00

Gamma

228.80

381.30

NHS reference cost 2017/2018 [28]

 Average number of hospital bed days while waiting for physiologic clearance of ticagrelor

5.00

Gamma

3.00

7.00

NHS Digital 2017/2018 and Sousa-Uva et al., 2014 [14]

 Patients who will be discharged home while waiting for physiologic clearance of ticagrelor (%)

0.00

Fixed

NA

NA

Assumption

 Cost of cangrelor and tirofiban (£)

205.00

Gamma

153.75

256.25

British National Formulary [29]

 Cost of LMWH (£)

30.30

Gamma

22.70

37.84

British National Formulary [29]

 Cost of blood clotting test (£)

3.60

Gamma

2.72

4.53

Inflated to 2018 [30]

Cost of bleeding

 Transfusion of RBCs [unit] (£)

129.00

Gamma

96.70

161.20

NHS Blood and Transplant

 Transfusion of platelets [unit] (£)

185.90

Gamma

139.40

232.30

NHS Blood and Transplant

 Cost of administering blood per unit (£)

50.70

Gamma

38.00

63.40

Stokes, 2018, inflated to 2018 [38]

 Cost of administering platelets per unit (£)

60.00

Gamma

45.00

75.00

Stokes, 2018, inflated to 2018 [38]

 Unit cost of re-thoracotomy (£)

4800.00

Gamma

2100.00

6888.00

Assumed to require 4 h of theatre time

 Unit cost of treatment with desmopressin (£)

13.16

Fixed

NA

NA

British National Formulary [29]

Cost of health states

 Annual cost of post-surgery health states (£)

2010.20

Gamma

1959.00

2061.50

Walker et al., 2016, inflated to 2018 [31]

  1. CABG coronary artery bypass graft, ICU intensive care unit, LMWH low-molecular-weight heparin, NA not applicable, RBCs red blood cells