Characteristics, Outcomes, and Cost Patterns of High-Cost Patients in the Intensive Care Unit
Joint Authors
Kyeremanteng, Kwadwo
Wan, Cynthia
Fernando, Shannon M.
Reardon, Peter M.
Van Katwyk, Sasha
Thavorn, Kednapa
Kobewka, Daniel
Tanuseputro, Peter
Rosenberg, Erin
Vanderspank-Wright, Brandi
Kubelik, Dalibor
Devlin, Rose Anne
Klinger, Christopher
Source
Critical Care Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-02
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
ICU care is costly, and there is a large variation in cost among patients.
Methods.
This is an observational study conducted at two ICUs in an academic centre.
We compared the demographics, clinical data, and outcomes of the highest decile of patients by total costs, to the rest of the population.
Results.
A total of 7,849 patients were included.
The high-cost group had a longer median ICU length of stay (26 versus 4 days, P<0.001) and amounted to 49% of total costs.
In-hospital mortality was lower in the high-cost group (21.1% versus 28.4%, P<0.001).
Fewer high-cost patients were discharged home (23.9% versus 45.2%, P<0.001), and a large proportion were transferred to long-term care (35.1% versus 12.1%, P<0.001).
Patients with younger age or a diagnosis of subarachnoid hemorrhage, acute respiratory failure, or complications of procedures were more likely to be high cost.
Conclusions.
High-cost users utilized half of the total costs.
While cost is associated with LOS, other drivers include younger age or admission for respiratory failure, subarachnoid hemorrhage, or after a procedural complication.
Cost-reduction interventions should incorporate strategies to optimize critical care use among these patients.
American Psychological Association (APA)
Reardon, Peter M.& Fernando, Shannon M.& Van Katwyk, Sasha& Thavorn, Kednapa& Kobewka, Daniel& Tanuseputro, Peter…[et al.]. 2018. Characteristics, Outcomes, and Cost Patterns of High-Cost Patients in the Intensive Care Unit. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1130439
Modern Language Association (MLA)
Reardon, Peter M.…[et al.]. Characteristics, Outcomes, and Cost Patterns of High-Cost Patients in the Intensive Care Unit. Critical Care Research and Practice No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1130439
American Medical Association (AMA)
Reardon, Peter M.& Fernando, Shannon M.& Van Katwyk, Sasha& Thavorn, Kednapa& Kobewka, Daniel& Tanuseputro, Peter…[et al.]. Characteristics, Outcomes, and Cost Patterns of High-Cost Patients in the Intensive Care Unit. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1130439
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130439