To study the quality, cost, and benefits of intensive care in a public hospital in Bombay, India.
Prospective collection of data.
Seventeen-bed medical-neurology-neurosurgery intensive care unit (ICU) of a municipal teaching hospital.
A total of 993 consecutive ICU patients during a 16-month period. interventions : None.
The 993 patients aged 36.5 ± 16 yrs (mean ± SD) had a day-1 Acute Physiology and Chronic Health Evaluation (APACHE) II score of 14.9 ± 9.6 (mean ± SD), with a predicted mortality of 21.7% ; the observed mortality was 36.2% (standardized mortality ratio=1.67).
The day-1 Therapeutic Intervention Scoring System (TISS) points were 17.7 ± 6.2 (mean ± SD), and total TISS points per patient were 87.6 ± 110 (mean ± SD).
17 and the average workload per nurse was 64.2 TISS points.
The average length of stay was 5.5 days (SD=7.1 days).
The overall cost of treating 993 patients was, In Indian rupees (Rs), Rs 107,79,209 (U.S. $307,997), and cost per patient per day was Rs 1,973 (U.S. $57).
The cost per survivor was Rs 17,029 (U.S. $487) and cost per TISS point was Rs 90.14 (U.S. $2.57).
The low cost per TISS point was attributable to the reuse of disposable equipment and lower cost of drugs and salaries for medical and paramedical staff.
Intensive care in India is cheaper than in the West ; however, mortality is 1. (...)
Mots-clés Pascal : Soin intensif, Unité soin intensif, Service hospitalier, Qualité, Analyse coût, Perspective, Economie santé, Evaluation, Homme, Inde, Asie
Mots-clés Pascal anglais : Intensive care, Intensive care unit, Hospital ward, Quality, Cost analysis, Perspective, Health economy, Evaluation, Human, India, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0490905
Code Inist : 002B30A04B. Création : 22/03/2000.