Jean-Yves Lefrant1, Bernard Garrigues2, Céline Pribil3, Isabelle Bardoulat4, Frédéric Courtial4, Frédérique Maurel4, Jean-Étienne Bazin5. 1. Division anesthésie réanimation douleur urgences, faculté de médecine, université Montpellier 1, CHU de Nîmes, place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France. Electronic address: jean.yves.lefrant@chu-nimes.fr. 2. Service de réanimation et de surveillances médico-chirurgicales polyvalentes, centre hospitalier du Pays d'Aix, Aix-en-Provence, France. 3. Health Outcomes Department, GlaxoSmithKline, 100, route de Versailles, 78163 Marly-le-Roi cedex, France. 4. IMS Health, Health Economics and Outcomes Research Department, Tour Ariane, 5-7, place de la Pyramide, 92088 La Défense cedex, France. 5. Service anesthésie réanimation, CHU de Clermont-Ferrand, 1, place Lucile-Aubrac, 63003 Clermont-Ferrand cedex, France.
Abstract
OBJECTIVES: To estimate the daily cost of intensive care unit (ICU) stays via micro-costing. METHODS: A multicentre, prospective, observational, cost analysis study was carried out among 21 out of 23 French ICUs randomly selected from French National Hospitals. Each ICU randomly enrolled 5 admitted adult patients with a simplified acute physiology II score ≥ 15 and with at least one major intensive care medical procedure. All health-care human resources used by each patient over a 24-hour period were recorded, as well as all medications, laboratory analyses, investigations, tests, consumables and administrative expenses. All resource costs were estimated from the hospital's perspective (reference year 2009) based on unitary cost data. RESULTS: One hundred and four patients were included (mean age: 62.3 ± 14.9 years, mean SAPS II: 51.5 ± 16.1, mean SOFA on the study day: 6.9 ± 4.3). Over 24 hours, 29 to 186 interventions per patient were performed by different caregivers, leading to a mean total time spent for patient care of 13:32 ± 05:00 h. The total daily cost per patient was € 1425 ± € 520 (95% CI = € 1323 to € 1526). ICU human resources represented 43% of total daily cost. Patient-dependent expenses (€ 842 ± € 521) represented 59% of the total daily cost. The total daily cost was correlated with the daily SOFA score (r = 0.271, P = 0.006) and the bedside-time given by caregivers (r = 0.716, P < 0.0001). CONCLUSION: The average cost of one day of ICU care in French National Hospitals is strongly correlated with the duration of bedside-care carried out by human resources.
OBJECTIVES: To estimate the daily cost of intensive care unit (ICU) stays via micro-costing. METHODS: A multicentre, prospective, observational, cost analysis study was carried out among 21 out of 23 French ICUs randomly selected from French National Hospitals. Each ICU randomly enrolled 5 admitted adult patients with a simplified acute physiology II score ≥ 15 and with at least one major intensive care medical procedure. All health-care human resources used by each patient over a 24-hour period were recorded, as well as all medications, laboratory analyses, investigations, tests, consumables and administrative expenses. All resource costs were estimated from the hospital's perspective (reference year 2009) based on unitary cost data. RESULTS: One hundred and four patients were included (mean age: 62.3 ± 14.9 years, mean SAPS II: 51.5 ± 16.1, mean SOFA on the study day: 6.9 ± 4.3). Over 24 hours, 29 to 186 interventions per patient were performed by different caregivers, leading to a mean total time spent for patient care of 13:32 ± 05:00 h. The total daily cost per patient was € 1425 ± € 520 (95% CI = € 1323 to € 1526). ICU human resources represented 43% of total daily cost. Patient-dependent expenses (€ 842 ± € 521) represented 59% of the total daily cost. The total daily cost was correlated with the daily SOFA score (r = 0.271, P = 0.006) and the bedside-time given by caregivers (r = 0.716, P < 0.0001). CONCLUSION: The average cost of one day of ICU care in French National Hospitals is strongly correlated with the duration of bedside-care carried out by human resources.
Authors: Cesar Cimonari de Almeida; M Dustin Boone; Yosef Laviv; Burkhard S Kasper; Clark C Chen; Ekkehard M Kasper Journal: Neurocrit Care Date: 2018-02 Impact factor: 3.210
Authors: Doug W Gould; James Doidge; M Zia Sadique; Mark Borthwick; Robert Hatch; Fergus J Caskey; Lui Forni; Robert F Lawrence; Clare MacEwen; Marlies Ostermann; Paul R Mouncey; David A Harrison; Kathryn M Rowan; J Duncan Young; Peter J Watkinson Journal: Health Technol Assess Date: 2022-02 Impact factor: 4.014
Authors: Doug W Gould; James Doidge; M Zia Sadique; Mark Borthwick; Fergus J Caskey; Lui Forni; Robert F Lawrence; Clare MacEwen; Paul R Mouncey; Marlies Ostermann; David A Harrison; Kathryn M Rowan; J Duncan Young; Peter J Watkinson Journal: J Intensive Care Soc Date: 2020-04-02