SavedAdd your journal

Journals / Selçuk Tıp Dergisi / 2009 / Cilt: 25 - Sayı: 4

Factors affecting cost of patient care in intensive care unıt

Yoğun bakım ünitesinde hasta maliyetini etkileyen faktörler

Orhan Önder EREN
Umut KALYONCU
NESLİHAN ANDIÇ
Çetinkaya Yeşim ŞARDAN
Pages
195–202
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion : Infections, admission for post operative care and increased length of stay were found to be associated with increased cost inpatients followed in intensive care units.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study had been planned to detect the factors affecting the cost of care in intensive care units.
📊
Key Findings & Data:Methods :Between 01 August 2002 and 01 August 2003 patient who stayed more than 48 hours in the intensive care units were followed.
💡
Conclusion & Impact:Conclusion : Infections, admission for post operative care and increased length of stay were found to be associated with increased cost inpatients followed in intensive care units.
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: This study had been planned to detect the factors affecting the cost of care in intensive care units. Methods :Between 01 August 2002 and 01 August 2003 patient who stayed more than 48 hours in the intensive care units were followed. Results :The median value of cost was (3668 $). Cost was considered to be ‘increased’ if it was more than 3668 $. In multivariate analysis factors associated with risk of increased cost were hospital acquired infections (OR 4.2621 95% confidence interval 1.688-10.735 p = 0.002), being admitted for post opertive care(OR 2.746 95% confidence interval 1.086-6.947 p=0.033) increased length of stay (OR 3.807 95% confidence interval 1.510-9.597 p= 0.005). The invasive interventions ,severity of ilness scores (SAPS II and APACHE II) and age (>65) were not detected to be independent risk factors for increased cost. Conclusion : Infections, admission for post operative care and increased length of stay were found to be associated with increased cost inpatients followed in intensive care units.

Özet

Amaç: Bu çalışma yoğun bakımda yatan hastalarda maliyeti etkileyen faktörleri saptamak amacıyla planlanmıştır. Yöntem:01 Ağustos 2002 ve 01 Ağustos 2003 tarihleri arasında 48 saatten daha uzun süre yoğun bakımlarda yatan hastalar izlenmiştir. Bulgular : Hasta maliyetinin medyan değeri 3668 $ olarak saptanmıştır, maliyetin 3668 $‘dan fazla olması ise artmış maliyet olarak kabul edilmiştir. Artmış maliyet ile ilişkili olarak multivariate analizde hastanede kazanılmış infeksiyonlar (OR 4.2621 % 95 güven aralığı 1.688-10.735 p = 0.002) post operatif izlem için yatırılmış olma (OR2.746 % 95 güven aralığı 1.086-6.947 p=0.033 ) ve uzamış yatış süresinin (OR 3.807 % 95 güven aralığı 1.510-9.597 p= 0.005) risk faktörü olduğu saptandı. Hastalara uygulanan invazif girişimlerin, yüksek hastalık şiddet skorlarının (SAPS II ve APACHE II) ve yaşın (> 65 yaş) artmış maliyet açısından bağımsız risk faktörleri olmadıkları gösterildi. Sonuç: Yoğun bakım ünitesinde takip edilen hastalarda infeksiyonlar, post operatif izlem için yatış ve uzamış yatış süresi artmış maliyetle ilişkili olarak bulunmuştur.

🔖

Cite This Article

EREN, O. Ö., KALYONCU, U., ANDIÇ, N., ŞARDAN, Ç. Y. (2009). Factors affecting cost of patient care in intensive care unıt. Selçuk Tıp Dergisi, Cilt: 25 - Sayı: 4, 195–202. https://ajindex.com/articles/319296

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Muhammet Güven, Editör. Current Yoğun Bakım Tanı ve Tedavi Güneş Kitabevi 2. Baskı Yoğun Bakım Felsefesi ve Prensipleri Sayfa 1-13.2003
  2. Cohn LH, Rosborough D, Fernandez J. Reducing costs and length of stay and improving efficicency and quality of care in cardiac surgery. Ann Thorac Surg 1997;64: S58-S60
  3. Jacobs P, Noseworthy TW. National estimates of intensive care utilization and cost:Canada and United States.Crit Care Med 1990;18:1282-1286
  4. Cohen IL, Bari N, Strosberg MA, Weinberg PF, Wacksman RM, Millstein BH et al. Reduction of duration and cost of mechanical ventilation in an intensive careunit by use of a ventilatory management team. Crit Care Med. 1991 Oct;19(10):1278-84
  5. Chelluri L, Mendelsohn AB, Belle SH, Rotondi AJ, Angus DC, Donahoe MPet al. Hospital costs in patients receiving prolonged mechanical ventilation: does age have an impact? Crit Care Med 2003;31(6):1746-51
  6. Higgins LP, Mcgee TW, Steingrub JS, RapoportJ, Lemeshow S, Teres D. Early indicators of prolonged intensive care unit stay: Impact of illness severity,physician staffing,and pre-intensive care unit length of stay. Crit Care Med 2003;31:45-51
  7. Detsky AS, Stricker SC, Mulley AG, Thibault GE. Prognosis, survival, and the expenditure of hospital resources for patients inan intensive-care unit. N Engl J Med. 1981;305(12):667-72
  8. Oye RK, Bellamy PE. Patterns of resource consumption in medical intensive care. Chest 1991;99(3):685-9
  9. Halpern NA, Bettes L, Greenstein R. Federal and nationwide intensive care units and healthcare costs: 1986-1992.Crit Care Med 1994; 22(12):2001-7
  10. Rosenthal VD, Guzman S, Orellano PW. Nosocomial infections in medical-surgical intensive care units in Argentina: attributable mortality and length of stay. Am J Infect Control 2003; 31(5):291-5
  11. Jarvis WR. Selected aspects of socioeconomic impact of nosocomial infections: morbidity,mortality,cost and prevention.Infect Control Hosp Epidemiol 1996; 17:552-7
  12. Detsky AS, Stricker SC, Mulley AG, Thibault GE. Prognosis, survival and the expenditure of hospital resources for patients inan intensive-care unit. N Engl J Med. 1981;305(12):667-72.