Table 3

Annual financial burden to the UK health service

Morbidity typeMarginal effect on costs of morbidity (increase from £24 143)Total per-patient cost (cost of no morbidity+marginal effect)Annual morbidity incidence—study centres*Annual morbidity incidence—extrapolated to UK populationAnnual cost to health service of morbidityAnnual national total cost
AB (A×J)CD (C×J)E (A×D)F (B×D)
No morbidity£24 1431415.13066£74 022 438
Acute neurological event£0£24 1438.318£0£434 574
Unplanned reoperation£22 903£47 04634.775£1 717 725£3 528 450
Feeding problems£17 927£42 07057.2124£2 222 948£5 216 680
Renal support£11 241£35 38423.350£562 050£1 769 200
Major adverse event£0£24 14320.444£0£1 062 292
Extracorporeal life support£66 784£90 92737.581£5 409 504£7 365 087
Necrotising enterocolitis£16 592£40 73519.141£680 272£1 670 135
Postsurgical infection morbidity£0£24 14316.035£0£845 005
Prolonged pleural effusion£7483£31 62665.4142£1 062 586£4 490 892
Multiple morbidity£37 697£61 840115.4250£9 424 250£15 460 000
Total1812.43927£21 079 335£115 864 753
Total incidence NCHDA reports 2014–2017†Annual incidence NCHDA reportsAnnualtotal morbidity incidence—study centresExtrapolation factorAnnual total morbidity cost for UK patient populationAnnual national total costAnnual national cost with no morbidities% increase in cost
GH (G/3)IJ (H/I)KLM (K-L)N ([K/M]×100)
11 78239271812.42.167£21 079 335£115 864 753£94 785 41822.3%
  • *Calculated from observed incidence rates of 3090 consecutive surgical procedures across all study centres.

  • †Calculated from reported rates of equivalent procedures in mandatory audit report from NCHDA rounded in this table to one decimal place.

  • NCHDA, National Congenital Heart Disease Audit.