TABLE 4

Value Analysis Regarding IV Versus NG Rehydration for AGE

DimensionCare Option ACare Option BPreferred OptionAssumptions Made
Description of Care Treatment Option Estimate: 60 patients/yIV rehydration for patients with AGEFamily involvement in IV versus NG rehydration for patients with AGE
Operational factors
 Percent adherence to care (goal 80%)100% IV (current)80% IV/20% NG (estimated)
 Care delivery team effectsCurrent state favoredLess familiarity with NGOption A
 Palatability to patient/familyMore familiar with IVLess familiarity with NGOption A
Benefits (quality/outcome)
 Degree of recovery at dischargeNo differenceNo differenceNeutralSimilar efficacy (supported by literature)
 Affects natural history of the disease over equivalent timeNo differenceNo differenceNeutralSimilar efficacy (supported by literature)
 Population-related benefitsNoneNoneNeutral
 Threshold for population-related benefits reachedNANA
Cost (arising from options A or B)
 Room/care setting costs ($ or time to recovery)No differenceNo differenceNeutralWhile time of IV/NG placement and hydration may vary based on the patient, overall room/care setting cost estimated to be comparable
 Diagnosis/Treatment costs ($)Cost of IV start/D5 1.2 NS + 20 mEq KCL; $633Cost of IV start/D5 1.2 NS + 20 mEq KCL (80%); $633 + cost of NG placement and Pedialyte (20%); $130Option B$503 savings per patient with NG instead of IV
Cost: complications/adverse effects arising from options A or B
 Room/care setting cost ($ or time to recovery)No differenceNo differenceNo literature suggests different outcomes at this time
 Dx/Rx costs ($)No differenceNo differenceNot doing radiographs
Annual estimated cost for this careTotal cost: $37 980Total cost: 30 384 IV+ 1272 NG: $31 656Option B