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Daily cost of an intensive care unit day: the contribution of mechanical ventilation.

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TLDR
Intensive care unit costs are highest during the first 2 days of admission, stabilizing at a lower level thereafter, and the mean incremental cost of mechanical ventilation in intensive care unit patients was $1,522 per day (p < .001).
Abstract
Objective:To quantify the mean daily cost of intensive care, identify key factors associated with increased cost, and determine the incremental cost of mechanical ventilation during a day in the intensive care unit.Design:Retrospective cohort analysis using data from NDCHealth’s Hospital Patient Lev

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Health Care Costs in the Last Week of Life Associations With End-of-Life Conversations

TL;DR: Patients with advanced cancer who reported having EOL conversations with physicians had significantly lower health care costs in their final week of life, and higher costs were associated with worse quality of death.
Journal ArticleDOI

Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs.

TL;DR: The evolving role, patterns of use, and costs of critical care medicine in the United States from 2000 to 2005 are analyzed to provide a contemporary benchmark for the strategic planning ofcritical care medicine services within the U.S. hospital system.
Journal ArticleDOI

The epidemiology of mechanical ventilation use in the United States.

TL;DR: Mechanical ventilation use is common and accounts for a disproportionate amount of resource use, particularly in urban hospitals and in elderly patients, which means quality improvement and cost-reduction strategies targeted at these patients are warranted.
Journal ArticleDOI

Costs and outcomes of acute kidney injury (AKI) following cardiac surgery

TL;DR: Cost, LOS and mortality are higher in postoperative cardiac surgery patients who develop AKI using RIFLE criteria, and these values increase as AKI severity worsens.
References
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Journal ArticleDOI

The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults.

TL;DR: The overall predictive accuracy of the first-day APACHE III equation was such that, within 24 h ofICU admission, 95 percent of ICU admissions could be given a risk estimate for hospital death that was within 3 percent of that actually observed.
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The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee.

TL;DR: ICU-acquired infection is common and often associated with microbiological isolates of resistant organisms, and the potential effects on outcome emphasize the importance of specific measures for infection control in critically ill patients.
Journal ArticleDOI

Smearing Estimate: A Nonparametric Retransformation Method

TL;DR: The smearing estimate as discussed by the authors is a nonparametric estimate of the expected response on the untransformed scale after fitting a linear regression model on a transformed scale, which is consistent under mild regularity conditions, and usually attains high efficiency relative to parametric estimates.
Journal ArticleDOI

Characteristics and Outcomes in Adult Patients Receiving Mechanical Ventilation: A 28-Day International Study

TL;DR: Survival among mechanically ventilated patients depends not only on the factors present at the start of mechanical ventilation, but also on the development of complications and patient management in the intensive care unit.
Journal ArticleDOI

Outcome and attributable cost of ventilator-associated pneumonia among intensive care unit patients in a suburban medical center.

TL;DR: Patients with ventilator-associated pneumonia had significantly longer ICU and hospital LOS, with higher crude hospital cost and mortality rate compared with uninfected patients, and hospital costs were higher than average.
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