Effectiveness and efficiency in a multidisciplinary ICU;Eficacia y eficiencia de una Unidad de Medicina Intensiva polivalente

Medicina Intensiva

Volumn 24, Issue 5, 2000, Pages 211-219

  Garcia Lizana F ^b   Manzano Alonso, J L ^a   Trevino Pena E ^b   Perez Ortiz C ^b   Garcia Oliva I ^b   Vallejo Baez A ^b   Saavedra Santana, P ^b  

^a Hospital Nuestra Senora del Pino   (Spain)

^b HOSPITAL UNIVERSITARIO INSULAR DE GRAN CANARIA   (Spain)

Author keywords

Intensive Care; Quality of life costs; Withholding and withdrawing life sustaining therapy

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HEALTH CARE COST; HOSPITALIZATION; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; QUALITY OF LIFE; SURVIVAL RATE; TREATMENT FAILURE; TREATMENT OUTCOME; TREATMENT PLANNING;

EID: 0033913279     PISSN: 02105691     EISSN: None     Source Type: Journal    
DOI: 10.1016/s0210-5691(00)79585-4     Document Type: Article

References (38)

1. Ruíz J. Identificación de las relaciones de agencia en Medicina Intensiva y su implicación ética y económica. En. Net A ed. Ética y Costes en Medicina Intensiva. Barcelona: Springer, 1996; 13: 116-39.
2. Knaus W, Draper E, Warner DP. Zimmerman J Prognosis. In Acute Organ-System Failure. Ann Surg 1985; 202: 685-693.
3. Marshall J, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ. Multiple Organ Dysfunction Score: A Reliable Descriptor of a Complex Clinical Outcome Crit Care Med 1995; 23: 1.638-1.652
4. Jorda Marcos R, Abizanda Campos R, Verduras Ruiz MA, Revuelta Rabasa P, Chama Barrientos A, Abadal Centellas JM. Mortalidad en el Fracaso Multiorgánico (FMO). Med Intensiva 1985; 9: 220-222.
5. EuroQoL Group. Euroqol a Neu Facility for the Measurement of Health- Related Quality of Life. Health Policy 1990; 16 199-208.
6. Williams A. The Role of the Euroqol Instrument in QALY Calculations. Discussion Paper 130 The University of York, 1995.
7. Reis Miranda D. Una aproximación al control de calidad de las unidades de cuidados intensivos. En. Europa. Med Intensiva 1991; 15: 319-321
8. Oye RK. Bellamy PE Patterns of Resource Consumption in Medical Intensive Care. Chest 1991; 99: 685-689
9. Jacobs P, Noseworthy TW. National Estimates of Intensive Care Utilization and Cost: Canada and United States. Crit Care Med 1990; 18: 1.282-1.286.
10. Perales N. Rucabado L La Medicina intensiva en la crisis de los sistemas sanitarios. El reto de la eficiencia: planificación y regionaltzación En: La UMI como Centro de responsabilidad. Planificacion y Control. Madrid: IDEPSA 1991; 37-65.
11. Donabedian A. Una aproximacion a la monitirización de la calidad asistencial (Primera Parte) Control de calidad asistencial, 1991; 6. 1 1-6
12. Les R, Smith-Erucgseb N, Lind B. Intensive Care: Cost And Benefit. Acta Anaesthesiol Scand 1987; 31 (Supl). 84: 3-19.
13. Sage WM, Hurst C, Silverman J, Bortz W Intensive Care for The Elderly. Outcome of Elective and Nonelective Admissions J Am Geriatr Soc 1987; 35: 312-318.
14. Chelluri L, Grenvik A, Silverman M. Intensive Care for Critically Ill Elderly Mortality, Cost and Quality of Life. Review of The Literature. Arch Intern Med 1995; 155: 1.013-1.022.
15. Becker G, Strauch G, Saranchak H. Outcome and Cost of Prolonged in the Surgical Intensive Care Unit. Arch Surg 1984. 119: 1.338-1.342.
16. Slatyer MA, James OF, Moore PG, Leeder SRI. Cost, Severity of Illness and Outcome in Intensive Care. Anaesth Intens Care 1986; 14: 381-389.
17. Bohigas LI. El Coste de la Muerte. En: Net A, ed. Ética y Costes en Medicina Intensiva. Barcelona: Springer 1996; 37-44.
18. IBERN. La distribución de los costes sanitarios per cápita y el control del riesgo. XV Jornadas de Economía de la Salud. Santiago (Junio) 1994.
19. Berk ML, Monheit AC. The Concentration of Health Expeditures: An Update. Affairs (Winter) 1992: 144-149.
20. Mizrahi An, Mizrahi AR. Debours et Depenses Medicales Selon L'âge Et Le Sexe. Credes (Paris) 1985.
21. Detsky AS, Stricker S, Mulley A, Thibault GE. Prognosis, Survival and the Expenditure of Hospital Resources for Patients in an Intensive-Care Unit. N Engl J Med 1981; 305: 667-672.
22. Byrick RJ, Mindorff C, McKee L, Mdge B. Cost-Effectiveness of Intensive Care For Respiratory Failure Patiens. Crit Care Med 1980; 8: 332-337.
23. Chassin MR. Costs and Outcomes of Medical Intensive Care. Med Care 1982; 20: 165-179.
24. Bamberger K, Maniscalco-Theberge M, Pearl R, Jaques D. Death and Dollars: the Cost of Dying in the Surgical Intensive Care Unit. J Trauma 1996; 40: 39-41.
25. Ridley S, Biggam M. A Cost-Utility Analysis of Intensive Therapy. II: Quality of Life in Survivors. Anaesthesia 1994; 49: 192-196.
26. Ridley S, Biggam M, Stone P. The Cost of Intensive Care; A Descripcion of Methodology and Initial Results. Anaesthesia 1991; 46: 523-530.
27. Roberts C. Implications for Clinical Practice. En: Measuring Health: A Practical Aproach. London: John Wiley, 1988; 245-260.
28. Gómez Rubi JA. La Influencia de la escasez de recursos en la limitacion del esfuerzo terapéutico. En: Net, ed. Ética y costes en medicina intensiva. Barcelona: Springer 1996; 97-103.
29. Manzano JL. Limitación del tratamiento a pacientes críticos. Med Clin (Bare) 1994; 102: 540-542.
30. Wood G, Martin E. Withholding and Withdrawing Life-Sustaining Therapy in a Canadian Intensive Care Unit. Can J Anaesth 1995; 42: 186-191.
31. Kalb PE, Miller DH. Utilization Strategies for Intensive Care Units. JAMA 1989; 261: 2.389-2.395.
32. Solsona JF, Abizanda R. Hacia la elaboración de criterios de ingreso en los servicios de medicina intensiva. Med Intensiva 1998; 22: 72-73.
33. Williams A. Applications in Management. En: Measuring Health: a Practical Approach. Teeling Smith, eds. London: John Wiley & Sons, 1988; 225-244.
34. Williams A. El problema del establecimiento de prioridades en sanidad. En: Net A, eds. Ética y costes en medicina intensiva. Barcelona: Springer 1996; 3: 21-36.
35. Keenan SP, Busch KD, Chen LM, Esmail R, Inman KJ, Sibbald WJ. Wihtdrawal and Withholding of Life Support in the Intensive Care Unit: a comparison of Teaching and Community Hospitals. Crit Care Med 1998; 26: 245-251.
36. Prendergast TJ, Luce JM. Increasing Incidence of Withholding and Withdrawal of Life Support from the critically Ill. Am J Respir Crit Care Med 1997; 155: 15-20.
37. Dowdy M, Robertson C, Bander J. A Study of Proactive Ethics Consultation for Critically and Terminally Ill Patients with Extended Lengths of Stay. Crit Care Med 1998; 26: 252-259.
38. Vincent JL. European Attitudes Towards Ethical Problems in Intensive Care Medicine Results of an Ethical Questionnaire. Intensive Care Med 1990; 16: 256-264