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Table 3Cost parameter for non-invasive ventilation

MeanUpper valueLower value
Purchase price of ventilator machine£4000£6098a£2000b
Estimated annual cost of ventilator (discounted at 3.5% for 5 years)£1285.93£1959.59£642.96
Annual maintenance cost (10% of purchase price)a£400£609.80£200
Annual cost of initial trainingc£153.90£231.80£76
Cost of consumablesd£1000
Cost of battery pack connector cable£29
Purchase price of a 13.2 V 10 Ah portable battery packa£150
Estimated annual cost of portable battery pack (discounted at 3.5% for 2 years)£80.46
Annual cost of fast charger 9303a£204
a

Source of ventilator costs: Gray et al. (2009).

b

GDG member.

c

The assumption is that 50% of training was given by a consultant doctor (medicine) with an interest in MND and 50% by a specialist nurse. The mean amount of formal training on how to use NIV is assumed to be half that observed for an inpatient. The assumption here is that the average MND patient can tolerate NIV on the first attempt and will be able to understand how the device works without repeated training episodes. On these lines, Plant et al. (2003) noted that the mean formal training given to patients with respiratory failure was 7.6 hours.

d

Consumables are considered to include: two full face masks, headgear (chin strap, medium soft cap, large rescap, connectors – elbow, hooks for aircraft mask, 22-mm tubing (two sets) plus other miscellaneous costs.

Source of ventilator costs: Gray et al. (2009).

GDG member.

The assumption is that 50% of training was given by a consultant doctor (medicine) with an interest in MND and 50% by a specialist nurse. The mean amount of formal training on how to use NIV is assumed to be half that observed for an inpatient. The assumption here is that the average MND patient can tolerate NIV on the first attempt and will be able to understand how the device works without repeated training episodes. On these lines, Plant et al. (2003) noted that the mean formal training given to patients with respiratory failure was 7.6 hours.

Consumables are considered to include: two full face masks, headgear (chin strap, medium soft cap, large rescap, connectors – elbow, hooks for aircraft mask, 22-mm tubing (two sets) plus other miscellaneous costs.

From: Appendix 9.7, Health economic evaluation

Cover of Motor Neurone Disease
Motor Neurone Disease: The Use of Non-Invasive Ventilation in the Management of Motor Neurone Disease [Internet].
NICE Clinical Guidelines, No. 105.
Centre for Clinical Practice at NICE (UK).
Copyright © 2010, National Institute for Health and Clinical Excellence.

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