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Titolo:
The impact of adverse patient occurrences on hospital costs in the pediatric intensive care unit
Autore:
Dominguez, TE; Chalom, R; Costarino, AT;
Indirizzi:
Childrens Hosp Philadelphia, Dept Anesthesiol & Crit Care Med, Philadelphia, PA 19104 USA Childrens Hosp Philadelphia Philadelphia PA USA 19104 lphia, PA 19104 USA Univ Penn, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104Univ Penn, Philadelphia, PA 19104 USA St Barnabas Med Ctr, Pediat Intens Care Unit, Livingston, NJ USA St Barnabas Med Ctr Livingston NJ USA tens Care Unit, Livingston, NJ USA
Titolo Testata:
CRITICAL CARE MEDICINE
fascicolo: 1, volume: 29, anno: 2001,
pagine: 169 - 174
SICI:
0090-3493(200101)29:1<169:TIOAPO>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
NOSOCOMIAL INFECTIONS; ATTRIBUTABLE MORTALITY; VENTILATORY SUPPORT; EXCESS LENGTH; DRUG EVENTS; EXTRA COSTS; COMPLICATIONS; STAY; EXTUBATION; RISK;
Keywords:
costs; economic analysis; hospital mortality; human; iatrogenic disease-epidemiology; infant; statistics-regression analysis; intensive care units; pediatric; length of stay; medical errors; statistics and numerical data; cohort studies; risk factors; severity of illness index;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Dominguez, TE Childrens Hosp Philadelphia, Dept Anesthesiol & Crit Care Med, 34th & Civ Ctr Blvd, Philadelphia, PA 19104 USA Childrens Hosp Philadelphia 34th & Civ Ctr Blvd Philadelphia PA USA 19104
Citazione:
T.E. Dominguez et al., "The impact of adverse patient occurrences on hospital costs in the pediatric intensive care unit", CRIT CARE M, 29(1), 2001, pp. 169-174

Abstract

Objectives: To study the influence of adverse patient occurrences defined as airway complication (AG), vascular complication (VC), and infectious complication (IC) on intensive care unit (ICU) costs and length of stay (LOS). Design: Retrospective, cohort study Setting: An urban, tertiary care children's hospital in Philadelphia, PA. Patients: All children admitted to a multidisciplinary pediatric ICU during the fiscal year 1994. Interventions: NoneMeasurements and Main Results:Demographic data, diagnoses, Pediatric Risk of Mortality scores, LOS, and deaths were recorded. Hospital charges were converted into casts by using cost-to-charge ratios. There were 23 AC, 35 VC, and 40 IC events, Multiple regression in models adjusting for age, Pediatric Risk of Mortality score, mortality, chronic disease, and diagnosis by using AC, VC, and IC indicator variables was performed on the dependent variables of LOS and total costs. IC was associated with an increase in total costs of $50,361.89 (p <.001), an increased LOS of 15.6 days (p <.001), and no significant increase in daily costs. There were no significant increasesin costs or LOS seen with the AC and VC variables. In a matched analysis, the total costs attributable to le averaged $32,040 per patient. Conclusions: The occurrence of complications in the pediatric ICU is associated with meaningful increases in LOS and hospital costs. ICs are more important predictors of costs than ACs or VCs. Continuing efforts should be made to minimize adverse occurrences to improve patient care and reduce costs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 07:27:27