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  1. Cost accounting of adult intensive care : Methods and human and capital inputs.

    Article - En anglais

    Objective 

    To cost adult intensive care by determining inputs to production, resource consumption per patient, and total cost per intensive care unit (ICU) stay.

    Design 

    Prospective cost-accounting analysis of each patient stay in the ICU, over a 1-yr period.

    Setting 

    An 11-bed, medical/surgical adult ICU, in a 932-bed urban teaching hospital.

    Patients 

    All patients'admissions to an adult ICU over a 1-yr period, excluding those patients admitted solely for repeat hemodialysis.

    Interventions 

    None.

    Measurement and Main Results 

    Demographic information was collected, including age, gender, Acute Physiology and Chronic Health Evaluation (APACHE) II score, primary reason for ICU admission, operative (elective and emergency) and nonoperative status, ICU length of stay, and ICU outcome.

    Direct patient care costs were accounted to individual patients whose care generated those costs, and indirect patient care costs were averaged over all patients in the ICU on a daily basis.

    Costs were collected for human (nursing, medical, professional, and support staff) and capital (laboratory, diagnostic imaging, supplies, drugs, and equipment) resources.

    Cost information was available on 690 patients (43% female, 57% male).

    Cost/day/patient was $1,508 ± 475 (1992 Canadian dollars) and the average cost per ICU stay was $7,520 ± 11,606.

    Median cost/stay for all patients was $2,600.

    Cost per ICU stay was<$5,000 in 68% of patients, with an ICU survival rate of 85%. (...)

    Mots-clés Pascal : Unité soin intensif, Analyse coût, Economie santé, Adulte, Homme, Canada, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Intensive care unit, Cost analysis, Health economy, Adult, Human, Canada, North America, America

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

    Cote : 96-0357393

    Code Inist : 002B30A04B. Création : 10/04/1997.