Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients

This paper is aimed at addressing all the critical aspects linked to the implementation of intensive care ventilators in a pediatric setting, highlighting the most relevant technical features and describing the methodology to conduct health technology assessment (HTA) for supporting the decision-mak...

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Autores principales:	Martina Andellini, Francesco Faggiano, Sergio Giuseppe Picardo, Giuseppina Testa, Daniela Perrotta, Roberto Bianchi, Federico Nocchi, Carlo Capussotto, Elena Bassanelli, Pietro Derrico, Nicola Pirozzi, Leandro Pecchia, Matteo Ritrovato
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	intensive care ventilator intensive care unit pediatric HTA hospital decision making multi criteria decision analysis Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/bd11e66049f84eed806b3edff3834803
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spelling	oai:doaj.org-article:bd11e66049f84eed806b3edff38348032021-11-25T17:14:13ZHealth Technology Assessment of Intensive Care Ventilators for Pediatric Patients10.3390/children81109862227-9067https://doaj.org/article/bd11e66049f84eed806b3edff38348032021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/986https://doaj.org/toc/2227-9067This paper is aimed at addressing all the critical aspects linked to the implementation of intensive care ventilators in a pediatric setting, highlighting the most relevant technical features and describing the methodology to conduct health technology assessment (HTA) for supporting the decision-making process. Four ventilator models were included in the assessment process. A decision-making support tool (DoHTA method) was applied. Twenty-eight Key Performance Indicators (KPIs) were identified, defining the safety, clinical effectiveness, organizational, technical, and economic aspects. The Performance scores of each ventilator have been measured with respect to KPIs integrated with the total cost of ownership analysis, leading to a final rank of the four possible technological solutions. The final technologies’ performance scores reflected a deliver valued, contextualized, and shared outputs, detecting the most performant technological solution for the specific hospital context. HTA results had informed and supported the pediatric hospital decision-making process. This study, critically identifying the pros and cons of innovative features of ventilators and the evaluation criteria and aspects to be taken into account during HTA, can be considered as a valuable proof of evidence as well as a reliable and transferable method for conducting decision-making processes in a hospital context.Martina AndelliniFrancesco FaggianoSergio Giuseppe PicardoGiuseppina TestaDaniela PerrottaRoberto BianchiFederico NocchiCarlo CapussottoElena BassanelliPietro DerricoNicola PirozziLeandro PecchiaMatteo RitrovatoMDPI AGarticleintensive care ventilatorintensive care unitpediatricHTAhospital decision makingmulti criteria decision analysisPediatricsRJ1-570ENChildren, Vol 8, Iss 986, p 986 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intensive care ventilator intensive care unit pediatric HTA hospital decision making multi criteria decision analysis Pediatrics RJ1-570
spellingShingle	intensive care ventilator intensive care unit pediatric HTA hospital decision making multi criteria decision analysis Pediatrics RJ1-570 Martina Andellini Francesco Faggiano Sergio Giuseppe Picardo Giuseppina Testa Daniela Perrotta Roberto Bianchi Federico Nocchi Carlo Capussotto Elena Bassanelli Pietro Derrico Nicola Pirozzi Leandro Pecchia Matteo Ritrovato Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients
description	This paper is aimed at addressing all the critical aspects linked to the implementation of intensive care ventilators in a pediatric setting, highlighting the most relevant technical features and describing the methodology to conduct health technology assessment (HTA) for supporting the decision-making process. Four ventilator models were included in the assessment process. A decision-making support tool (DoHTA method) was applied. Twenty-eight Key Performance Indicators (KPIs) were identified, defining the safety, clinical effectiveness, organizational, technical, and economic aspects. The Performance scores of each ventilator have been measured with respect to KPIs integrated with the total cost of ownership analysis, leading to a final rank of the four possible technological solutions. The final technologies’ performance scores reflected a deliver valued, contextualized, and shared outputs, detecting the most performant technological solution for the specific hospital context. HTA results had informed and supported the pediatric hospital decision-making process. This study, critically identifying the pros and cons of innovative features of ventilators and the evaluation criteria and aspects to be taken into account during HTA, can be considered as a valuable proof of evidence as well as a reliable and transferable method for conducting decision-making processes in a hospital context.
format	article
author	Martina Andellini Francesco Faggiano Sergio Giuseppe Picardo Giuseppina Testa Daniela Perrotta Roberto Bianchi Federico Nocchi Carlo Capussotto Elena Bassanelli Pietro Derrico Nicola Pirozzi Leandro Pecchia Matteo Ritrovato
author_facet	Martina Andellini Francesco Faggiano Sergio Giuseppe Picardo Giuseppina Testa Daniela Perrotta Roberto Bianchi Federico Nocchi Carlo Capussotto Elena Bassanelli Pietro Derrico Nicola Pirozzi Leandro Pecchia Matteo Ritrovato
author_sort	Martina Andellini
title	Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients
title_short	Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients
title_full	Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients
title_fullStr	Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients
title_full_unstemmed	Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients
title_sort	health technology assessment of intensive care ventilators for pediatric patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/bd11e66049f84eed806b3edff3834803
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Health Technology Assessment of Intensive Care Ventilators for Pediatric Patients

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