Determining the economic cost of ICU treatment: a prospective "micro-costing" study.
AffiliationDepartment of Intensive Care, Adelaide and Meath Hospital, The National, Children's Hospital, Tallaght, Dublin 24, Ireland. firstname.lastname@example.org
Costs and Cost Analysis
Intensive Care Units/*economics
MetadataShow full item record
CitationIntensive Care Med. 2009 Dec;35(12):2135-40. Epub 2009 Sep 15.
JournalIntensive care medicine
AbstractOBJECTIVE: To prospectively assess the cost of patients in an adult intensive care unit (ICU) using bottom-up costing methodology and evaluate the usefulness of "severity of illness" scores in estimating ICU cost. METHODS AND DESIGN: A prospective study costing 64 consecutive admissions over a 2-month period in a mixed medical/surgical ICU. RESULTS: The median daily ICU cost (interquartile range, IQR) was 2,205 euro (1,932 euro-3,073 euro), and the median total ICU cost (IQR) was 10,916 euro (4,294 euro-24,091 euro). ICU survivors had a lower median daily ICU cost at 2,164 per day, compared with 3,496 euro per day for ICU non-survivors (P = 0.08). The requirements for continuous haemodiafiltration, blood products and anti-fungal agents were associated with higher daily and overall ICU costs (P = 0.002). Each point increase in SAPS3 was associated with a 305 euro (95% CI 31 euro-579 euro) increase in total ICU cost (P = 0.029). However, SAPS3 accounted for a small proportion of the variance in this model (R (2) = 0.08), limiting its usefulness as a stand-alone predictor of cost in clinical practice. A model including haemodiafiltration, blood products and anti-fungal agents explained 54% of the variance in total ICU cost. CONCLUSION: This bottom-up costing study highlighted the considerable individual variation in costs between ICU patients and identified the major factors contributing to cost. As the requirement for expensive interventions was the main driver for ICU cost, "severity of illness" scores may not be useful as stand-alone predictors of cost in the ICU.
- The daily cost of ICU patients: A micro-costing study in 23 French Intensive Care Units.
- Authors: Lefrant JY, Garrigues B, Pribil C, Bardoulat I, Courtial F, Maurel F, Bazin JÉ, CRREA Study Group, AzuRea Group
- Issue date: 2015 Jun
- A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units.
- Authors: Moerer O, Plock E, Mgbor U, Schmid A, Schneider H, Wischnewsky MB, Burchardi H
- Issue date: 2007
- A multicentre, prospective study to evaluate costs of septic patients in Brazilian intensive care units.
- Authors: Sogayar AM, Machado FR, Rea-Neto A, Dornas A, Grion CM, Lobo SM, Tura BR, Silva CL, Cal RG, Beer I, Michels V, Safi J, Kayath M, Silva E, Costs Study Group - Latin American Sepsis Institute
- Issue date: 2008
- Comparative costing analysis of intensive care services between Hungary and United Kingdom.
- Authors: Csomós A, Janecskó M, Edbrooke D
- Issue date: 2005 Sep
- Variable cost of ICU care, a micro-costing analysis.
- Authors: Karabatsou D, Tsironi M, Tsigou E, Boutzouka E, Katsoulas T, Baltopoulos G
- Issue date: 2016 Aug