logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Potentially ineffective care : a new outcome to assess the limits of critical care.

    Article - En anglais

    Objective

    - To examine the limits of the effectiveness of critical care through the study of patients for whom it was ineffective.

    Design

    - We studied the relationship between resource use and long-term outcome (2-year follow-up) in 402 consecutively admitted critical care patients to develop a benchmark for ineffective applications of critical care.

    We defined an outcome called potentially ineffective care (PIC), developed and evaluated a model with an independent data set to predict PIC from a patient's response to treatment, and estimated the economic effects of limiting care after a prediction of PIC.

    Setting

    The combined medical and surgical intensive care unit at a 600-bed university teaching hospital.

    Patients

    - Two groups of 402 consecutively admitted critical care patients, one from 1989, the other from 1991.

    For the hospital studied, reduction of intensity of treatment after a prediction of a PIC outcome would result in a reduction of hospital charges in the range of $1.8 million to $5 million per year.

    Conclusion

    - Patients in the PIC category consumed a large portion of the resources devoted to critical care at an academic teaching hospital.

    We suggest a change in focus from assessment of the quality of critical care and risk-adjusted mortality to an assessment of ineffective care based on outcome and resource use and a patient's response to treatment ov.

    Mots-clés Pascal : Soin, Urgence, Efficacité, Triage, Malade, Méthode, Economie santé, Attitude, Homme

    Mots-clés Pascal anglais : Care, Emergency, Efficiency, Sorting, Patient, Method, Health economy, Attitude, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0024522

    Code Inist : 002B30A05. Création : 01/03/1996.