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Volumn 46, Issue 12, 2008, Pages 1226-1233

Cost savings attributable to reductions in intensive care unit length of stay for mechanically ventilated patients

Author keywords

Cost effectiveness; Costs; Critical care; Intensive care; Mechanical ventilation

Indexed keywords


EID: 57649110675     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e31817d9342     Document Type: Article
Times cited : (153)

References (42)
  • 1
    • 2942527099 scopus 로고    scopus 로고
    • Critical care medicine in the United States 1985-2000: An analysis of bed numbers, use, and costs
    • Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985-2000: an analysis of bed numbers, use, and costs. Crit Care Med. 2004;32:1254-1259.
    • (2004) Crit Care Med , vol.32 , pp. 1254-1259
    • Halpern, N.A.1    Pastores, S.M.2    Greenstein, R.J.3
  • 2
    • 0032776868 scopus 로고    scopus 로고
    • Intensive care unit length of stay: Can it be reduced?
    • Zimmerman JE. Intensive care unit length of stay: can it be reduced? Crit Care Med. 1999;27:1393-1394.
    • (1999) Crit Care Med , vol.27 , pp. 1393-1394
    • Zimmerman, J.E.1
  • 3
    • 20444452507 scopus 로고    scopus 로고
    • Daily cost of an intensive care unit day: The contribution of mechanical ventilation
    • Dasta JF, McLaughlin TP, Mody SH, et al. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit Care Med. 2005;33:1266-1271.
    • (2005) Crit Care Med , vol.33 , pp. 1266-1271
    • Dasta, J.F.1    McLaughlin, T.P.2    Mody, S.H.3
  • 4
    • 0025410023 scopus 로고
    • Explaining variability of cost using a severity-of-illness measure for ICU patients
    • Rapoport J, Teres D, Lemeshow S, et al. Explaining variability of cost using a severity-of-illness measure for ICU patients. Med Care. 1990; 28:338-348.
    • (1990) Med Care , vol.28 , pp. 338-348
    • Rapoport, J.1    Teres, D.2    Lemeshow, S.3
  • 5
    • 85047698192 scopus 로고    scopus 로고
    • Length of stay data as a guide to hospital economic performance for ICU patients
    • Rapoport J, Teres D, Zhao Y, et al. Length of stay data as a guide to hospital economic performance for ICU patients. Med Care. 2003;41: 386-397.
    • (2003) Med Care , vol.41 , pp. 386-397
    • Rapoport, J.1    Teres, D.2    Zhao, Y.3
  • 6
    • 10544248173 scopus 로고    scopus 로고
    • Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously
    • Ely EW, Baker AM, Dunagan DP, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med. 1996;335:1864-1869.
    • (1996) N Engl J Med , vol.335 , pp. 1864-1869
    • Ely, E.W.1    Baker, A.M.2    Dunagan, D.P.3
  • 7
    • 0034682246 scopus 로고    scopus 로고
    • Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation
    • Kress JP, Pohlman AS, O'Connor MF, et al. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342:1471-1477.
    • (2000) N Engl J Med , vol.342 , pp. 1471-1477
    • Kress, J.P.1    Pohlman, A.S.2    O'Connor, M.F.3
  • 8
    • 35348987627 scopus 로고    scopus 로고
    • Available at:, Accessed March 10, 2005
    • Institute for Healthcare Improvement. Ventilator bundle (IHI Tool). 2004. Available at: http://www.ihi.org. Accessed March 10, 2005.
    • (2004) Ventilator bundle (IHI Tool)
  • 9
    • 3242775982 scopus 로고    scopus 로고
    • Surviving sepsis campaign guidelines for management of severe sepsis and septic shock
    • Dellinger RP, Carlet JM, Masur H, et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Crit Care Med. 2004;32:858-873.
    • (2004) Crit Care Med , vol.32 , pp. 858-873
    • Dellinger, R.P.1    Carlet, J.M.2    Masur, H.3
  • 10
    • 0033546650 scopus 로고    scopus 로고
    • Cost-effectiveness of antiseptic-impregnated central venous catheters for the prevention of catheter-related bloodstream infection
    • Veenstra DL, Saint S, Sullivan SD. Cost-effectiveness of antiseptic-impregnated central venous catheters for the prevention of catheter-related bloodstream infection. JAMA. 1999;282:554-560.
    • (1999) JAMA , vol.282 , pp. 554-560
    • Veenstra, D.L.1    Saint, S.2    Sullivan, S.D.3
  • 11
    • 2942565859 scopus 로고    scopus 로고
    • Intensive care unit physician staffing: Financial modeling of the Leapfrog standard
    • Pronovost PJ, Needham DM, Waters H, et al. Intensive care unit physician staffing: financial modeling of the Leapfrog standard. Crit Care Med. 2004;32:1247-1253.
    • (2004) Crit Care Med , vol.32 , pp. 1247-1253
    • Pronovost, P.J.1    Needham, D.M.2    Waters, H.3
  • 12
    • 34548294721 scopus 로고    scopus 로고
    • Implementation of early goal-directed therapy for severe sepsis and septic shock: A decision analysis
    • Huang DT, Clermont G, Dremsizov TT, et al. Implementation of early goal-directed therapy for severe sepsis and septic shock: a decision analysis. Crit Care Med. 2007;35:2090-2100.
    • (2007) Crit Care Med , vol.35 , pp. 2090-2100
    • Huang, D.T.1    Clermont, G.2    Dremsizov, T.T.3
  • 13
    • 33644589802 scopus 로고    scopus 로고
    • Analysis of healthcare resource utilization with intensive insulin therapy in critically ill patients
    • Van den Berghe G, Wouters PJ, Kesteloot K, et al. Analysis of healthcare resource utilization with intensive insulin therapy in critically ill patients. Crit Care Med. 2006;34:612-616.
    • (2006) Crit Care Med , vol.34 , pp. 612-616
    • Van den Berghe, G.1    Wouters, P.J.2    Kesteloot, K.3
  • 14
    • 0037086013 scopus 로고    scopus 로고
    • Can health care costs be reduced by limiting intensive care at the end of life?
    • Luce JM, Rubenfeld GD. Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med. 2002;165:750-754.
    • (2002) Am J Respir Crit Care Med , vol.165 , pp. 750-754
    • Luce, J.M.1    Rubenfeld, G.D.2
  • 15
    • 0033577036 scopus 로고    scopus 로고
    • Distribution of variable vs fixed costs of hospital care
    • Roberts RR, Frutos PW, Ciavarella GG, et al. Distribution of variable vs fixed costs of hospital care. JAMA. 1999;281:644-649.
    • (1999) JAMA , vol.281 , pp. 644-649
    • Roberts, R.R.1    Frutos, P.W.2    Ciavarella, G.G.3
  • 16
    • 0035043986 scopus 로고    scopus 로고
    • Determining unit cost values for health care resources in pharmacoeconomic studies
    • Malone DC, Sullivan SD, Veenstra DL. Determining unit cost values for health care resources in pharmacoeconomic studies. Formulary. 2001;36:294-304.
    • (2001) Formulary , vol.36 , pp. 294-304
    • Malone, D.C.1    Sullivan, S.D.2    Veenstra, D.L.3
  • 17
    • 33748415731 scopus 로고    scopus 로고
    • Understanding economic outcomes in critical care
    • Kahn JM. Understanding economic outcomes in critical care. Curr Opin Crit Care. 2006;12:399-404.
    • (2006) Curr Opin Crit Care , vol.12 , pp. 399-404
    • Kahn, J.M.1
  • 18
    • 33745282710 scopus 로고    scopus 로고
    • Healthcare Cost and Utilization Project, Available at:, Accessed September 18, 2007
    • Healthcare Cost and Utilization Project. Clinical Classifications Software for ICD-9-CM. Available at: http://www.hcup-us.ahrq.gov/toolssoftware/ ccs/ccs.jsp. Accessed September 18, 2007.
    • Clinical Classifications Software for ICD-9-CM
  • 20
    • 0036277939 scopus 로고    scopus 로고
    • Definitions and methods of cost assessment: An intensivist's guide. ESICM section on health research and outcome working group on cost effectiveness
    • Jegers M, Edbrooke DL, Hibbert CL, et al. Definitions and methods of cost assessment: an intensivist's guide. ESICM section on health research and outcome working group on cost effectiveness. Intensive Care Med. 2002;28:680-685.
    • (2002) Intensive Care Med , vol.28 , pp. 680-685
    • Jegers, M.1    Edbrooke, D.L.2    Hibbert, C.L.3
  • 21
    • 0033017405 scopus 로고    scopus 로고
    • Analytic approaches for the evaluation of costs
    • Glick HA, Polsky D. Analytic approaches for the evaluation of costs. Hepatology. 1999;29(Suppl 6):S18-S22.
    • (1999) Hepatology , vol.29 , Issue.SUPPL. 6
    • Glick, H.A.1    Polsky, D.2
  • 22
    • 0034657861 scopus 로고    scopus 로고
    • Bootstrap confidence intervals: When, which, what? A practical guide for medical statisticians
    • Carpenter J, Bithell J. Bootstrap confidence intervals: when, which, what? A practical guide for medical statisticians. Stat Med. 2000;19:1141-1164.
    • (2000) Stat Med , vol.19 , pp. 1141-1164
    • Carpenter, J.1    Bithell, J.2
  • 23
    • 0029971026 scopus 로고    scopus 로고
    • Cost accounting of adult intensive care: Methods and human and capital inputs
    • Noseworthy TW, Konopad E, Shustack A, et al. Cost accounting of adult intensive care: methods and human and capital inputs. Crit Care Med. 1996;24:1168-1172.
    • (1996) Crit Care Med , vol.24 , pp. 1168-1172
    • Noseworthy, T.W.1    Konopad, E.2    Shustack, A.3
  • 24
    • 0030807128 scopus 로고    scopus 로고
    • A new method of accurately identifying costs of individual patients in intensive care: The initial results
    • Edbrooke DL, Stevens VG, Hibbert CL, et al. A new method of accurately identifying costs of individual patients in intensive care: the initial results. Intensive Care Med. 1997;23:645-650.
    • (1997) Intensive Care Med , vol.23 , pp. 645-650
    • Edbrooke, D.L.1    Stevens, V.G.2    Hibbert, C.L.3
  • 25
    • 0033033399 scopus 로고    scopus 로고
    • A model to compute the medical cost of patients in intensive care
    • Chaix C, Durand-Zaleski I, Alberti C, et al. A model to compute the medical cost of patients in intensive care. Pharmacoeconomics. 1999;15:573-582.
    • (1999) Pharmacoeconomics , vol.15 , pp. 573-582
    • Chaix, C.1    Durand-Zaleski, I.2    Alberti, C.3
  • 26
    • 0032911938 scopus 로고    scopus 로고
    • The development of a method for comparative costing of individual intensive care units. The Intensive Care Working Group on Costing
    • Edbrooke D, Hibbert C, Ridley S, et al. The development of a method for comparative costing of individual intensive care units. The Intensive Care Working Group on Costing. Anaesthesia. 1999;54:110-120.
    • (1999) Anaesthesia , vol.54 , pp. 110-120
    • Edbrooke, D.1    Hibbert, C.2    Ridley, S.3
  • 27
    • 0035090911 scopus 로고    scopus 로고
    • A cost-effectiveness analysis of stays in intensive care units
    • Sznajder M, Aegerter P, Launois R, et al. A cost-effectiveness analysis of stays in intensive care units. Intensive Care Med. 2001;27:146-153.
    • (2001) Intensive Care Med , vol.27 , pp. 146-153
    • Sznajder, M.1    Aegerter, P.2    Launois, R.3
  • 28
    • 0037320685 scopus 로고    scopus 로고
    • Cost of intensive care in a Norwegian University hospital 1997-1999
    • Flaatten H, Kvale R. Cost of intensive care in a Norwegian University hospital 1997-1999. Crit Care. 2003;7:72-78.
    • (2003) Crit Care , vol.7 , pp. 72-78
    • Flaatten, H.1    Kvale, R.2
  • 30
    • 0037251242 scopus 로고    scopus 로고
    • Impact of intensive care unit (ICU) drug use on hospital costs: A descriptive analysis, with recommendations for optimizing ICU pharmacotherapy
    • Weber RJ, Kane SL, Oriolo VA, et al. Impact of intensive care unit (ICU) drug use on hospital costs: a descriptive analysis, with recommendations for optimizing ICU pharmacotherapy. Crit Care Med. 2003;31:S17-S24.
    • (2003) Crit Care Med , vol.31
    • Weber, R.J.1    Kane, S.L.2    Oriolo, V.A.3
  • 31
    • 34547657252 scopus 로고    scopus 로고
    • A German national prevalence study on the cost of intensive care: An evaluation from 51 intensive care units
    • Moerer O, Plock E, Mgbor U, et al. A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units. Crit Care. 2007;11:R69.
    • (2007) Crit Care , vol.11
    • Moerer, O.1    Plock, E.2    Mgbor, U.3
  • 32
    • 0033856539 scopus 로고    scopus 로고
    • Length of stay has minimal impact on the cost of hospital admission
    • Taheri PA, Butz DA, Greenfield LJ. Length of stay has minimal impact on the cost of hospital admission. J Am Coll Surg. 2000;191:123-130.
    • (2000) J Am Coll Surg , vol.191 , pp. 123-130
    • Taheri, P.A.1    Butz, D.A.2    Greenfield, L.J.3
  • 33
    • 34547662014 scopus 로고    scopus 로고
    • A revised method to assess intensive care unit clinical performance and resource utilization
    • Nathanson BH, Higgins TL, Teres D, et al. A revised method to assess intensive care unit clinical performance and resource utilization. Crit Care Med. 2007;35:1853-1862.
    • (2007) Crit Care Med , vol.35 , pp. 1853-1862
    • Nathanson, B.H.1    Higgins, T.L.2    Teres, D.3
  • 34
    • 0037251088 scopus 로고    scopus 로고
    • Economic evaluation of new therapies in critical illness
    • Coughlin MT, Angus DC. Economic evaluation of new therapies in critical illness. Crit Care Med. 2003;31:S7-S16.
    • (2003) Crit Care Med , vol.31
    • Coughlin, M.T.1    Angus, D.C.2
  • 35
    • 0037083840 scopus 로고    scopus 로고
    • Understanding costs and cost-effectiveness in critical care: Report from the second American Thoracic Society workshop on outcomes research
    • Understanding costs and cost-effectiveness in critical care: report from the second American Thoracic Society workshop on outcomes research. Am J Respir Crit Care Med. 2002;165:540-550.
    • (2002) Am J Respir Crit Care Med , vol.165 , pp. 540-550
  • 36
    • 0033009724 scopus 로고    scopus 로고
    • Methods for analyzing health care utilization and costs
    • Diehr P, Yanez D, Ash A, et al. Methods for analyzing health care utilization and costs. Annu Rev Public Health. 1999;20:125-144.
    • (1999) Annu Rev Public Health , vol.20 , pp. 125-144
    • Diehr, P.1    Yanez, D.2    Ash, A.3
  • 37
    • 0026552070 scopus 로고
    • Influence of political power, medical provincialism, and economic incentives on the rationing of surgical intensive care unit beds
    • Marshall MF, Schwenzer KJ, Orsina M, et al. Influence of political power, medical provincialism, and economic incentives on the rationing of surgical intensive care unit beds. Crit Care Med. 1992;20:387-394.
    • (1992) Crit Care Med , vol.20 , pp. 387-394
    • Marshall, M.F.1    Schwenzer, K.J.2    Orsina, M.3
  • 38
    • 34748853731 scopus 로고    scopus 로고
    • The effect of referral and transfer patients on hospital funding in a capitated health care delivery system
    • Pietz K, Byrne MM, Daw C, et al. The effect of referral and transfer patients on hospital funding in a capitated health care delivery system. Med Care. 2007;45:951-958.
    • (2007) Med Care , vol.45 , pp. 951-958
    • Pietz, K.1    Byrne, M.M.2    Daw, C.3
  • 39
    • 34249297414 scopus 로고    scopus 로고
    • Effect of interhospital transfer on resource utilization and outcomes at a tertiary care referral center
    • Golestanian E, Scruggs JE, Gangnon RE, et al. Effect of interhospital transfer on resource utilization and outcomes at a tertiary care referral center. Crit Care Med. 2007;35:1470-1476.
    • (2007) Crit Care Med , vol.35 , pp. 1470-1476
    • Golestanian, E.1    Scruggs, J.E.2    Gangnon, R.E.3
  • 40
    • 33748114315 scopus 로고    scopus 로고
    • Marginal cost of emergency department outpatient visits: An update using California data
    • Bamezai A, Melnick G. Marginal cost of emergency department outpatient visits: an update using California data. Med Care. 2006;44:835-841.
    • (2006) Med Care , vol.44 , pp. 835-841
    • Bamezai, A.1    Melnick, G.2
  • 41
    • 0032572110 scopus 로고    scopus 로고
    • Risk factors for ICU-acquired pneumonia
    • Cook DJ, Kollef MH. Risk factors for ICU-acquired pneumonia. JAMA. 1998;279:1605-1606.
    • (1998) JAMA , vol.279 , pp. 1605-1606
    • Cook, D.J.1    Kollef, M.H.2
  • 42
    • 0028097917 scopus 로고
    • Risk factors for gastrointestinal bleeding in critically ill patients. Canadian Critical Care Trials Group
    • Cook DJ, Fuller HD, Guyatt GH, et al. Risk factors for gastrointestinal bleeding in critically ill patients. Canadian Critical Care Trials Group. N Engl J Med. 1994;330:377-381.
    • (1994) N Engl J Med , vol.330 , pp. 377-381
    • Cook, D.J.1    Fuller, H.D.2    Guyatt, G.H.3


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