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Table 3 Model outcomes including infections averted, incremental costs, incremental QALYs, and incremental cost-effectiveness ratio for upgrading the room ventilation rate from 0.8 to 12 ACH

From: The cost-effectiveness of standalone HEPA filtration units for the prevention of airborne SARS CoV-2 transmission

 

Airborne infections averted

Mean (95% credible interval)

Net cost ($)

Mean (95% credible interval)

Cost saving ($)

Mean (95% credible interval)

Losses of QALYs

Mean (95% credible interval)

Incremental QALYsa gained

Mean (95% credible interval)

ICERb (95% credible interval)

Base-case scenario (2% prevalence of disease in the surrounding community where the restaurant is located and when 70% of the customers are vaccinated)

 Room ventilation rate of 0.8 ACH

 

$185,579 ($100,099, $300,430)

 

1.6 (0.85, 2.66)

  

 Improve room ventilation rate to 12 ACH

54 (29, 86)

$32,877 ($19,394, $50,877)

$152,701 ($80,663, $249,501)

0.25 (0.13, 0.42)

1.35 (0.72, 2.24)

− $113,126/QALY (dominant, dominant)

Best-case scenario (0.1% prevalence of disease in the surrounding community where the restaurant is located and when 90% of the restaurant customers are vaccinated)

 Room ventilation rate of 0.8 ACH

 

$6824 ($3524, $11,356)

 

0.06 (0.03, 0.11)

  

 Improve room ventilation rate to 12 ACH

2 (1, 4)

$4821 ($3930, $5865)

$2003 (− $881, $5968)

0.01 (0.01, 0.02)

0.05 (0.03, 0.09)

− $38,104/QALY (dominant, $30,503/QALY)

Worst-case scenario (3% prevalence of disease in the surrounding community where the restaurant is located and when no customer is vaccinated)

 Room ventilation rate of 0.8 ACHc

 

$544,521 ($298,694, $875,492)

 

4.35 (2.34, 7.14)

  

 Improve room ventilation rate to 12 ACH

135 (76, 213)

$89,243 ($50,540, $141,203)

$455,277 ($247,879, $734,424)

0.68 (0.37, 1.12)

3.66 (1.98, 6.02)

− $124,294/QALY (dominant, dominant)

  1. The model outcomes are calculated for the base-case scenario (mean year-round prevalence of 2% in the surrounding community where the restaurant is located and when 70% of the customers are vaccinated), best-case scenario (mean year-round prevalence of 0.1% in the surrounding community where the restaurant is located and when 90% of the restaurant customers are vaccinated), and worst-case scenario (mean year-round prevalence of 3% in the surrounding community where the restaurant is located and when no customer is vaccinated)
  2. Negative ICERs in this table represent a cost-saving scenario, meaning the comparator intervention saves money and improves health
  3. ICER incremental cost-effectiveness ratio; QALY quality adjusted life year; ACH air changes per hour
  4. aQuality-adjusted life years, which is equal to the product of the number of years of life gained and the health-related quality of life score
  5. bThe incremental cost-effectiveness ratio (ICER) is equal to the incremental cost divided by the incremental QALYs gained
  6. cAir exchanges per hour. In this iteration of the model 0.8 is used as the baseline