Intensive Care Medicine

, Volume 32, Issue 4, pp 545–552

Variable costs of ICU patients: a multicenter prospective study

  • Carlotta Rossi
  • Bruno Simini
  • Luca Brazzi
  • Giancarlo Rossi
  • Danilo Radrizzani
  • Gaetano Iapichino
  • Guido Bertolini
Original

DOI: 10.1007/s00134-006-0080-2

Cite this article as:
Rossi, C., Simini, B., Brazzi, L. et al. Intensive Care Med (2006) 32: 545. doi:10.1007/s00134-006-0080-2

Abstract

Objective

To analyze the costs of treating critically ill patients.

Design and setting

Multicenter, observational, prospective, cohort, bottom-up study on variable costs in 51 ICUs.

Patients and participants

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.

Interventions

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).

Measurements and results

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.

Conclusions

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.

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Carlotta Rossi
    • 1
  • Bruno Simini
    • 2
  • Luca Brazzi
    • 3
    • 4
  • Giancarlo Rossi
    • 6
  • Danilo Radrizzani
    • 7
  • Gaetano Iapichino
    • 3
    • 5
  • Guido Bertolini
    • 1
  1. 1.Istituto di Ricerche Farmacologiche Mario NegriCentro di Ricerche Cliniche per le Malattie Rare Aldo e Cele DaccòRanicaItaly
  2. 2.Servizio di Anestesia e RianimazioneOspedale CivileLuccaItaly
  3. 3.Istituto di Anestesia e RianimazioneUniversità degli Studi di MilanoMilanItaly
  4. 4.Fondazione IRCCSOspedale Maggiore Policlinico, Mangiagalli, Regina ElenaMilanItaly
  5. 5.Polo Universitario S. PaoloMilanItaly
  6. 6.I Servizio di Anestesia e RianimazioneSpedali RiunitiLivornoItaly
  7. 7.I Servizio di Anestesia e RianimazioneOspedale Civile di LegnanoLegnanoItaly

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