Analysis of costs in a pediatric ICU.
To analyze the actual cost of pediatric intensive care and its different components, particularly the differences between various patient groups, with special reference to the variable cost and the elements included in it.
Prospective, observational study.
Multidisciplinary 12-bed pediatric intensive care unit (PICU) in a tertiary university hospital.
495 admissions to the unit over 17 consecutive months ; 64.2% were medical patients and 35.8% were surgical patients ; the mean (SE) stay in the PICU was 6.6 ± 0.4 days.
Measurements and results
The fixed cost per day per patient was calculated, including the costs of physicians, nurses, auxiliary and other personnel who worked during the study period, and the costs of structural depreciation, maintenance, consumption, and disposable material.
The variable cost was individually calculated from the costs of routine procedures and also included expenditure on pharmaceuticals, blood products, biochemical, hematological, and bacteriologic tests, radiology, image diagnosis procedures, and other procedures.
The Physiologic Stability Index (PSI) was obtained in the first 24 h after admission.
The mean fixed cost per patient per day was u. s. $ 608, which represents 72% of the total patient cost during this study ; 86% of this amount was for personnel (58% for nurses and auxiliary staff).
Variable costs came to 28% of the total amount, and were $ 218 ± 100 (M ± SEM) per patient per day. (...)
Mots-clés Pascal : Unité soin intensif, Pédiatrie, Service hospitalier, Hospitalisation, Economie santé, Analyse coût, Enfant, Homme, Soin intensif
Mots-clés Pascal anglais : Intensive care unit, Pediatrics, Hospital ward, Hospitalization, Health economy, Cost analysis, Child, Human, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0204218
Code Inist : 002B30A04B. Création : 21/05/1997.