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  1. The patient-related costs of care for sepsis patients in a United Kingdom adult general intensive care unit.

    Article - En anglais

    Objective 

    To determine the patient-related costs of care for critically ill patients with severe sepsis or early septic shock.

    Design 

    Retrospective, longitudinal, observational study during a 10-month period.

    Setting 

    Adult general intensive care unit (ICU) in a university hospital located in the United Kingdom.

    Patients 

    The study population consisted of 213 patients admitted consecutively to the ICU during a 10-month period.

    Thirty-slx patients were Identified using standard definitions as having developed sepsis and analyzed by group (according to the day on which sepsis was diagnosed) :

    • Group 1 patients were septic at admission to ICU (n=16) ;

    • group 2 patients were septic on their second day In the ICU (n=10) ;

    • and group 3 patients developed sepsis after their second day in the ICU (n=10).

    One hundred and seventy-seven ICU patients without sepsis were used as the comparative group (group 4).

    Interveventions : None.

    Main Results 

    Patient-related costs of care, length of ICU stay, and ICU and hospital mortality rates were compiled.

    The median daily costs of care for patients In groups 1,2, and 3 were $930.74 (interquartile range $851.59-$1,263.96) ; $814.47 ($650.89-$1,123.06), and $1,079.39 ($705.02-$1,295.96), respectively ; these were significantly more than the group 4 patient's daily cost of $750.38 ($644.10-$908.55) (p<. 01).

    The median total cost of treating the group 4 patients was $1,666.87 ($979.71-$2,772. (...)

    Mots-clés Pascal : Choc, Septique syndrome, Infection, Unité soin intensif, Royaume Uni, Europe, Analyse coût, Evaluation, Adulte, Homme, Economie santé, Appareil circulatoire pathologie, Service hospitalier, Soin intensif

    Mots-clés Pascal anglais : Shock, Sepsis syndrome, Infection, Intensive care unit, United Kingdom, Europe, Cost analysis, Evaluation, Adult, Human, Health economy, Cardiovascular disease, Hospital ward, Intensive care

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

    Cote : 99-0490794

    Code Inist : 002B30A04B. Création : 22/03/2000.