Journal ArticleDOI
Variable costs of ICU patients: a multicenter prospective study
Carlotta Rossi,Bruno Simini,Luca Brazzi,Giancarlo Rossi,Danilo Radrizzani,Gaetano Iapichino,Guido Bertolini +6 more
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TLDR
Cost of treatment in an ICU varies widely for different types of patients and strategies are needed to contain the major determinants of high costs and low cost-efficiency.Abstract:
To analyze the costs of treating critically ill patients. Multicenter, observational, prospective, cohort, bottom-up study on variable costs in 51 ICUs. A total of 1,034 patients aged over 14 years who either spent less than 48 h in the ICU or had multiple trauma, major abdominal surgery, ischemic stroke, chronic obstructive pulmonary disease, cardiac failure, isolated head injury, acute lung injury/adult respiratory distress syndrome (ALI/ARDS), nontraumatic intracranial hemorrhage or coronary surgery. Data recorded for each patient: length of ICU stay, and cost in euros of all diagnostic and therapeutic procedures, drugs and equipment used, and consultations by physicians from other units. To express cost-efficiency we calculated for each diagnostic group the cost per surviving patient (expenditure for all patients/number of surviving patients) and money loss per patient (expenditure for patients who died/total number of patients). Median costs for a multiple trauma patient were €4076 and for coronary surgery patient €380. The variability is largely due to different lengths of ICU stay. Cost per surviving patient was higher for ALI/ARDS, nontraumatic intracranial hemorrhage, multiple trauma, and emergency abdominal surgery. Money loss per patient was higher for ALI/ARDS and lower for multiple trauma. Planned coronary and major abdominal surgery and short-stay patients were treated most cost-efficiently. Cost of treatment in an ICU varies widely for different types of patients. Strategies are needed to contain the major determinants of high costs and low cost-efficiency.read more
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Journal ArticleDOI
Cost of disorders of the brain in Europe 2010
Anders Gustavsson,Mikael Svensson,Frank Jacobi,Christer Allgulander,Jordi Alonso,Ettore Beghi,R. Dodel,Mattias Ekman,Carlo Faravelli,Laura Fratiglioni,Brenda Gannon,David P.H. Jones,Poul Jennum,Albena Jordanova,Linus Jönsson,Korinna Karampampa,Martin Knapp,Martin Knapp,Gisela Kobelt,Tobias Kurth,Roselind Lieb,Mattias Linde,Christina Ljungcrantz,Andreas Maercker,Beatrice Melin,Massimo Moscarelli,Amir Musayev,Fiona Norwood,Martin Preisig,Maura Pugliatti,Juergen Rehm,Luis Salvador-Carulla,Brigitte Schlehofer,Roland Simon,Hans-Christoph Steinhausen,Lars Jacob Stovner,Jean-Michel Vallat,Peter Van den Bergh,Jim van Os,Jim van Os,Pieter E. Vos,Weili Xu,Hans-Ulrich Wittchen,Bengt Jönsson,Jes Olesen +44 more
TL;DR: The present report presents much improved cost estimates for the total cost of disorders of the brain in Europe in 2010, covering 19 major groups of disorders, 7 more than previously, of an increased range of age groups and more cost items.
Journal ArticleDOI
ACCM/PALS haemodynamic support guidelines for paediatric septic shock: an outcomes comparison with and without monitoring central venous oxygen saturation
Cláudio Flauzino de Oliveira,Débora S. F. de Oliveira,Adriana F. C. Gottschald,Juliana Del Grossi Moura,Graziela de Araujo Costa,Andréa Maria Cordeiro Ventura,José Carlos Fernandes,Flávio Adolfo Costa Vaz,Joseph A. Carcillo,Emanuel P. Rivers,Eduardo Juan Troster +10 more
TL;DR: Goal-directed therapy using the endpoint of a ScvO2 ≥ 70% has a significant and additive impact on the outcome of children and adolescents with septic shock and supports the current ACCM/PALS guidelines.
Journal ArticleDOI
A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units.
Onnen Moerer,Enno Plock,Uchenna Mgbor,Alexandra Schmid,Heinz Schneider,Manfred Wischnewsky,Hilmar Burchardi +6 more
TL;DR: The reason for admission, the severity of illness and the occurrence of severe sepsis are directly related to the level of ICU cost, with the highest cost in septic patients.
Journal ArticleDOI
Costs of stroke using patient-level data: a critical review of the literature.
TL;DR: Large variations in the costs of stroke were showed, mainly attributable to differences in the populations studied, methods, and cost categories included, which could lead to selection bias in secondary health economic analyses.
Journal ArticleDOI
A revised method to assess intensive care unit clinical performance and resource utilization
Brian H. Nathanson,Thomas L. Higgins,Daniel Teres,Wayne S. Copes,Andrew A. Kramer,Maureen Stark +5 more
TL;DR: A new WHD model has been derived from a large, contemporary critical care database and, when combined with MPM0-III, provides a well-calibrated Rapoport-Teres graph, updates a popular method for benchmarking ICUs.
References
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Methods for the Economic Evaluation of Health Care Programmes
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TL;DR: The “blue book” systematises and summarises recent knowledge on the main types of economic evaluations, thereby providing a useful overview including sources of further readings.