To determine the patient-related costs of care for critically ill patients with severe sepsis or early septic shock.
Retrospective, longitudinal, observational study during a 10-month period.
Adult general intensive care unit (ICU) in a university hospital located in the United Kingdom.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0490794
Code Inist : 002B30A04B. Création : 22/03/2000.