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The DETECT study – an economic evaluation of direct costs and productivity losses

Guest speaker

Céu Mateus (Lancaster Universitity)


Room -1.26 & Online


Start19.04.2023 13:15End19.04.2023 14:15

Event summary


Céu Mateus is a Professor of Health Economics in the Division of Health Research at Lancaster University, United Kingdom. She holds a PhD in Public Health-Health Economics from the National School of Public Health, Nova University of Lisbon in Portugal, an MSc in European Social Policy Analysis from Bath University in the UK, and graduated in Economics from ISEG – Lisbon School of Economics and Management, Lisbon University in Portugal. Between 2001 and 2014 she was Assistant Professor of Health Economics at the National School of Public Health at University Nova of Lisbon. She worked for the Institute of Management and IT (Ministry of Health) in the Department of Information Systems Development from 1995 until 2000, where she was the Executive responsible for the Financing System/Classification System in Diagnoses Related Groups. She has over 25 years of experience in research and has developed her expertise around economic evaluation of health technologies and interventions, efficiency measurement, equity and quality of life. She has been involved in several scientific associations in the field of health care such as PCSI, EuHEA and the Portuguese Chapter of ISPOR. She is the current President of the Portuguese Health Economics Association.


Electronic early warning systems have been used in adults for many years to prevent critical deterioration events (CDEs). However, implementation of similar technologies for monitoring children across the entire hospital poses additional challenges. While the concept of such technologies is promising, their cost-effectiveness is not established for use in children. In this study we provide evidence on the potential direct cost savings arising from the implementation of DETECT (Dynamic Electronic Tracking and Escalation to reduce Critical Care Transfers) surveillance system – which contributes to reduce CDEs in paediatric patients.

Furthermore, unplanned critical care admissions following in-hospital deterioration in children are expected to impose a significant burden for carers across a number of dimensions. One dimension relates to the financial and economic impact associated with the admission, from both direct out-of-pocket expenditures, as well as indirect costs, reflecting productivity losses. A robust assessment of these costs is key to understand the wider impact of interventions aiming to reduce in-patient deterioration. This work aims to determine the economic burden imposed on carers caring for hospitalised children that experience critical deterioration events.

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