scholarly journals PHP75 The Cost Per Day of Intensive Care Units (ICU) in France: The CRRÉA Study

2011 ◽  
Vol 14 (7) ◽  
pp. A346-A347 ◽  
Author(s):  
B. Garrigues ◽  
J.Y. Lefrant ◽  
J. Bazin ◽  
I. Bardoulat ◽  
K. Tagdichti ◽  
...  
2018 ◽  
Vol 46 (1) ◽  
pp. 235-235
Author(s):  
Nicolas Chin-Yee ◽  
Gianni D’Egidio ◽  
Kednapa Thavorn ◽  
Sasha Van Katwyk ◽  
Daren Heyland ◽  
...  

2018 ◽  
Vol 2 (4) ◽  
pp. 20-29
Author(s):  
A.G. Salmanov ◽  
L.F. Slepova

Nosocomial pneumonia (NP) is a serious problem in healthcare in the world and remains the same, despite the application of new therapies and prevention. Among the infections associated with the provision of healthcare, the state of emergency takes the second - the third place in terms of prevalence and second place in terms of mortality. NP significantly impairs the prognosis of the underlying disease, increases the length of stay of the patient in the hospital and the cost of treatment. Insufficient resolution of issues of prophylaxis, early diagnosis and treatment is the reason that a significant proportion of cases of NP are diagnosed only by the results of autopsy. In recent years, there has been an increase in the number of cases of NP caused by antibiotic-resistant microorganisms, which complicates the implementation of effective empirical antibiotic therapy and disease prevention. The authors propose recommendations that take into account the modern scientific developments of many domestic and foreign researchers on NP issues. The issues of epidemiology, etiology, pathogenesis, clinical classification of the disease are elucidated in detail. Particular attention is paid to surveillance of emergency rooms in intensive care units (ICU).


Critical Care ◽  
2007 ◽  
Vol 11 (3) ◽  
pp. R69 ◽  
Author(s):  
Onnen Moerer ◽  
Enno Plock ◽  
Uchenna Mgbor ◽  
Alexandra Schmid ◽  
Heinz Schneider ◽  
...  

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 137-142 ◽  
Author(s):  
Elaine Machado de Oliveira ◽  
Ligia Maria Dal Secco ◽  
Walquiria Barcelos de Figueiredo ◽  
Katia Grillo Padilha ◽  
Silvia Regina Secoli

ABSTRACT Objective: To estimate the cost of nursing care required and available through the use of the Nursing Activities Score. Method: Quantitative study, direct costing of nursing care required and available in the Intensive Care Units. Data collection included variables of the patients, nursing professionals and nursing workload measured by the Nursing Activities Score. The cost of nursing care was estimated by multiplying the cost of each hour with the total number of hours of care per category. Results: The negative difference of R$ 94,791.5 between the cost of available and required nursing care indicated an increase of 3.2 nurses and 7.0 nursing technicians. Conclusion: The cost of nursing care required identified through the application of the Nursing Activities Score, which is higher than the cost of available care, indicates the need to adjust the number of professionals to meet patients' demands.


2021 ◽  
Author(s):  
Jorge not provided not provided Machado Alba

Trends in antibiotic consumption in Colombian intensive care units, 2010-2017 Introduction: Antibiotics are frequently used in intensive care units (ICUs). The objective of this study was to describe the trends of antibiotic use in Colombian ICUs across 8 years. Methods: This was a descriptive study that analyzed the consumption of antibiotics in 11 ICUs in 7 different cities. Patients older than 18 years in the period 2010 to 2017 were included. Demographic, pharmacological and cost variables were analyzed. Results: A total of 31,886 patients (50.8% men), with a mean age of 60.3±19.8 years, were treated with antibiotics. The most widely used antibiotics were piperacillin-tazobactam (25.2%), ampicillin-sulbactam (21.8%), and vancomycin (21.4%). The use of cefepime increased from 5.7 defined daily doses per 100 bed-days (DBD) in 2010 to 11.3 in 2017, followed by the use of meropenem (14.73 to 20.18 DBD). The average cost per patient/day decreased from USD 16.1 to USD 8.0 (reduction of 50.3%). A total of 41.3% of the cost corresponded to meropenem and 25.8% to piperacillin-tazobactam. Conclusions: The antimicrobials used in the ICU correspond to those recommended by the clinical practice guidelines. An increase in the DBD of some cephalosporins, carbapenems and penicillins and a significant reduction in the cost per patient day were observed.


2005 ◽  
Vol 26 (3) ◽  
pp. 281-287 ◽  
Author(s):  
Yin-Yin Chen ◽  
Yi-Chang Chou ◽  
Pesus Chou

AbstractObjective:Economic evaluation has become increasingly important in healthcare and infection control. This study evaluated the impact of nosocomial infections on cost of illness and length of stay (LOS) in intensive care units (ICUs).Design:A retrospective cohort study.Setting:Medical, surgical, and mixed medical and surgical ICUs in a tertiary-care referral medical center.Patients:Patients admitted to adult ICUs between October 2001 and June 2002 were eligible for the study.Methods:Estimates of the cost and LOS for patients who acquired a nosocomial infection were computed using a stratified analysis and regression approach.Results:During the study period, 778 patients were admitted to the ICUs. Total costs for patients with and without nosocomial infections (median cost, $10,354 and $3,985, respectively) were significantly different (P < .05). The costs stratified by infection site (median differences from $4,687 to $7,365) and primary diagnosis (median differences from $5,585 to $16,507) were also significantly different (P < .05) except for surgical-site infection. After covariates were adjusted for in the multiple linear regression, nosocomial infection increased the total costs by $3,306 per patient and increased the LOS by 18.2 days per patient (P < .001). Each additional day spent in the ICU increased the cost per patient by $353 (P < .001).Conclusions:Nosocomial infections are associated with increased cost of illness and LOS. Prevention of nosocomial infections should reduce direct costs and decrease the LOS.


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