title: The direct cost of intravenous insulin infusions to the NHS in England and Wales.
abstract: The cost of intravenous insulin infusion to the NHS is unknown. The aim of this study was to estimate the direct cost of insulin infusions to the NHS in England and Wales in the first 24-hour period of infusion. Data from the National Inpatient Diabetes Audit 2013 in the UK were used to estimate the number of insulin infusions in use across England and Wales. Costs were calculated for six models for setting up and maintenance of insulin infusions, depending on the extent of involvement of different healthcare professionals in the UK. In this study, the direct costs of intravenous insulin infusions to the NHS in England and Wales have been estimated to vary from £6.4-8.5 million in the first 24-hour period on infusion. More appropriate use of these infusions could result in substantial cost savings.
authors.affiliation: Diabetes Centre, The Ipswich Hospital NHS Trust, Ipswich, UK.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rajendran
authors.affiliation: Diabetes Centre, The Ipswich Hospital NHS Trust, Ipswich, UK.
authors.forename: Anne
authors.initials: A
authors.lastname: Scott
authors.affiliation: Diabetes Centre, The Ipswich Hospital NHS Trust, Ipswich, UK, and lead, National Inpatient Diabetes Audit, UK gerry.rayman@ipswichhospital.nhs.uk.
authors.forename: Gerry
authors.initials: G
authors.lastname: Rayman
mesh_terms: D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000191:economics*; D004180:Direct Service Costs; D016527:Drug Costs / Q000706:statistics & numerical data*; D004739:England; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000191:economics; D007262:Infusions, Intravenous; D007297:Inpatients; D007328:Insulin / Q000008:administration & dosage* / Q000191:economics*; D012189:Retrospective Studies; D013222:State Medicine / Q000191:economics*; D014852:Wales
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Insulin; NHS; diabetes; glucose; inpatients