Implications of ICU triage decisions on patient mortality: A cost-effectiveness analysis

Critical Care

Volumn 15, Issue 1, 2011, Pages

  Edbrooke, David L ^a,b   Minelli, Cosetta ^b,c   Mills, Gary H ^b   Iapichino, Gaetano ^d   Pezzi, Angelo ^d   Corbella, Davide ^d   Jacobs, Philip ^e   Lippert, Anne ^f   Wiis, Joergen ^f   Pesenti, Antonio ^g   Patroniti, Nicolo ^g   Pirracchio, Romain ^h   Payen, Didier ^h   Gurman, Gabriel ⁱ   Bakker, Jan ^j   Kesecioglu, Jozef ^k   Hargreaves, Chris ^l   Cohen, Simon L ^m   Baras, Mario ⁿ   Artigas, Antonio ^o   Sprung, Charles L ^p   more..

^a SHEFFIELD HALLAM UNIVERSITY   (United Kingdom)

^b ROYAL HALLAMSHIRE HOSPITAL   (United Kingdom)

^c INSTITUTE FOR RENEWABLE ENERGY   (Italy)

^d UNIVERSITY OF MILAN   (Italy)

^e UNIVERSITY OF ALBERTA   (Canada)

^f GENTOFTE UNIVERSITY HOSPITAL   (Denmark)

^g SAN GERARDO HOSPITAL   (Italy)

^h HÔPITAL LARIBOISIÈRE   (France)

ⁱ BEN GURION UNIVERSITY OF THE NEGEV   (Israel)

^j ISALA HOSPITAL   (Netherlands)

^k UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^l WHITTINGTON HOSPITAL NHS TRUST   (United Kingdom)

^m UNIVERSITY COLLEGE HOSPITAL   (United Kingdom)

ⁿ HEBREW UNIVERSITY OF JERUSALEM   (Israel)

^o HOSPITAL DE SABADELL   (Spain)

^p HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL DECISION MAKING; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DENMARK; DISEASE SEVERITY; FEMALE; FRANCE; HOSPITAL ADMISSION; HOSPITAL COST; HUMAN; INTENSIVE CARE UNIT; ISRAEL; ITALY; KARNOFSKY PERFORMANCE STATUS; MAJOR CLINICAL STUDY; MALE; MORTALITY; NETHERLANDS; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROPORTIONAL HAZARDS MODEL; RISK ASSESSMENT; SENSITIVITY ANALYSIS; SPAIN; SURVIVAL; UNITED KINGDOM; CLINICAL TRIAL; COMPARATIVE STUDY; COST BENEFIT ANALYSIS; ECONOMICS; EMERGENCY HEALTH SERVICE; EUROPE; HEALTH CARE FACILITY; HEALTH CARE PLANNING; MIDDLE AGED; MULTICENTER STUDY; STATISTICS; TREATMENT OUTCOME; UTILIZATION REVIEW;

ADULT; AGED; COST-BENEFIT ANALYSIS; EUROPE; FEMALE; HEALTH RESOURCES; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; PATIENT ADMISSION; PATIENTS' ROOMS; RISK ASSESSMENT; TREATMENT OUTCOME; TRIAGE;

EID: 79651475129     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc10029     Document Type: Article

References (37)

1. Edbrooke DL, Ridley SA, Hibbert CL, Corcoran M. Variations in expenditure between adult general intensive care units in the UK. Anaesthesia 2001, 56:208-216. 10.1046/j.1365-2044.2001.01716.x, 11251425.
2. Levin PD, Sprung CL. Intensive care triage--the hardest rationing decision of them all. Crit Care Med 2006, 34:1250-1251. 10.1097/01.CCM.0000208355.77757.9C, 16550076.
3. Truog RD, Brock DW, Cook DJ, Danis M, Luce JM, Rubenfeld GD, Levy MM. Rationing in the intensive care unit. Crit Care Med 2006, 34:958-963. quiz 971, 10.1097/01.CCM.0000206116.10417.D9, 16484912.
4. Miller DH. The rationing of intensive care. Crit Care Clin 1994, 10:135-143.
5. Sprung CL, Geber D, Eidelman LA, Baras M, Pizov R, Nimrod A, Oppenheim A, Epstein L, Cotev S. Evaluation of triage decisions for intensive care admission. Crit Care Med 1999, 27:1073-1079. 10.1097/00003246-199906000-00021, 10397207.
6. Simchen E, Sprung CL, Galai N, Zitser-Gurevich Y, Bar-Lavi Y, Gurman G, Klein M, Lev A, Levi L, Zveibil F, Mandel M, Mnatzaganian G. Survival of critically ill patients hospitalized in and out of intensive care units under paucity of intensive care unit beds. Crit Care Med 2004, 32:1654-1661. 10.1097/01.CCM.0000133021.22188.35, 15286540.
7. Bams JL, Miranda DR. Outcome and costs of intensive care. A follow-up study on 238 ICU-patients. Intensive Care Med 1985, 11:234-241. 10.1007/BF00260350, 4067059.
8. Kerridge RK, Glasziou PP, Hillman KM. The use of "quality-adjusted life years" (QALYs) to evaluate treatment in intensive care. Anaesth Intensive Care 1995, 23:322-331.
9. Sznajder M, Aegerter P, Launois R, Merliere Y, Guidet B, CUBRéa. A cost-effectiveness analysis of stays in intensive care units. Intensive Care Med 2001, 27:146-153. 10.1007/s001340000760, 11280626.
10. Graf J, Wagner J, Graf C, Koch KC, Janssens U. Five-year survival, quality of life, and individual costs of 303 consecutive medical intensive care patients--a cost-utility analysis. Crit Care Med 2005, 33:547-555. 10.1097/01.CCM.0000155990.35290.03, 15753746.
11. Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 1993, 270:2957-2963. 10.1001/jama.270.24.2957, 8254858.
12. Negrini D, Kettle A, Sheppard L, Mills GH, Edbrooke DL. The cost of a hospital ward in Europe: is there a methodology available to accurately measure the costs?. J Health Organ Manag 2004, 18:195-206. 10.1108/14777260410548437, 15366283.
13. WHO Statistical Information System (WHOSIS). , http://www.who.int/whosis/en/
14. Edbrooke NR, Negrini D, Edbrooke DL. International comparisons of health care costs: are they important in intensive care and how can they be achieved?. Yearbook of Intensive Care and Emergency Medicine 2004, 881-890. Berlin: Springer-Verlag, Vincent JL.
15. Niskanen M, Kari A, Halonen P. Five-year survival after intensive care--comparison of 12,180 patients with the general population. Finnish ICU Study Group. Crit Care Med 1996, 24:1962-1967. 10.1097/00003246-199612000-00006, 8968262.
16. Flaatten H, Kvale R. Survival and quality of life 12 years after ICU. A comparison with the general Norwegian population. Intensive Care Med 2001, 27:1005-1011. 10.1007/s001340100960, 11497132.
17. Ridley S, Biggam M, Stone P. A cost-utility analysis of intensive therapy. II: Quality of life in survivors. Anaesthesia 1994, 49:192-196. 10.1111/j.1365-2044.1994.tb03419.x, 8147508.
18. Wright JC, Plenderleith L, Ridley SA. Long-term survival following intensive care: subgroup analysis and comparison with the general population. Anaesthesia 2003, 58:637-642. 10.1046/j.1365-2044.2003.03205.x, 12790812.
19. EUROSTAT. , http://epp.eurostat.ec.europa.eu/
20. U.S. Census Bureau, International Data Base. , http://www.census.gov/
21. Gleason JR. A command for randomly resampling a dataset. Stata Technical Bulletin 1997, 37:17-22.
22. Joynt GM, Gomersall CD, Tan P, Lee A, Cheng CA, Wong EL. Prospective evaluation of patients refused admission to an intensive care unit: triage, futility and outcome. Intensive Care Med 2001, 27:1459-1465. 10.1007/s001340101041, 11685338.
23. Ip M, Gilligan T, Koenig B, Raffin TA. Ethical decision-making in critical care in Hong Kong. Crit Care Med 1998, 26:447-451. 10.1097/00003246-199803000-00013, 9504570.
24. Scheinkestel CD. The evolution of the intensivist: from health care provider to economic rationalist and ethicist. Med J Aust 1996, 164:310-312.
25. Vincent JL. European attitudes towards ethical problems in intensive care medicine: results of an ethical questionnaire. Intensive Care Med 1990, 16:256-264. 10.1007/BF01705162, 2358559.
26. Strauss MJ, LoGerfo JP, Yeltatzie JA, Temkin N, Hudson LD. Rationing of intensive care unit services. An everyday occurrence. JAMA 1986, 255:1143-1146. 10.1001/jama.255.9.1143, 3945032.
27. Attitudes of critical care medicine professionals concerning distribution of intensive care resources. The Society of Critical Care Medicine Ethics Committee. Crit Care Med 1994, 22:358-362.
28. Metcalfe MA, Sloggett A, McPherson K. Mortality among appropriately referred patients refused admission to intensive-care units. Lancet 1997, 350:7-11. 10.1016/S0140-6736(96)10018-0, 9217712.
29. Sinuff T, Kahnamoui K, Cook DJ, Luce JM, Levy MM. Rationing critical care beds: a systematic review. Crit Care Med 2004, 32:1588-1597. 10.1097/01.CCM.0000130175.38521.9F, 15241106.
30. Wildman MJ, Sanderson C, Groves J, Reeves BC, Ayres J, Harrison D, Young D, Rowan K. Implications of prognostic pessimism in patients with chronic obstructive pulmonary disease (COPD) or asthma admitted to intensive care in the UK within the COPD and asthma outcome study (CAOS): multicentre observational cohort study. BMJ 2007, 335:1132. 10.1136/bmj.39371.524271.55, 2099544, 17975254.
31. Norum J. Breast cancer screening by mammography in Norway. Is it cost-effective?. Ann Oncol 1999, 10:197-203. 10.1023/A:1008376608270, 10093689.
32. Peto J, Gilham C, Fletcher O, Matthews FE. The cervical cancer epidemic that screening has prevented in the UK. Lancet 2004, 364:249-256. 10.1016/S0140-6736(04)16674-9, 15262102.
33. Mayer SA, Copeland D, Bernardini GL, Boden-Albala B, Lennihan L, Kossoff S, Sacco RL. Cost and outcome of mechanical ventilation for life-threatening stroke. Stroke 2000, 31:2346-2353.
34. Zwanziger J, Hall WJ, Dick AW, Zhao H, Mushlin AI, Hahn RM, Wang H, Andrews ML, Mooney C, Wang H, Moss AJ. The cost effectiveness of implantable cardioverter-defibrillators: results from the Multicenter Automatic Defibrillator Implantation Trial (MADIT)-II. J Am Coll Cardiol 2006, 47:2310-2318. 10.1016/j.jacc.2006.03.032, 16750701.
35. Moerer O, Plock E, Mgbor U, Schmid A, Schneider H, Wischnewsky MB, Burchardi H. A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units. Crit Care 2007, 11:R69. 10.1186/cc5952, 2206435, 17594475.
36. Ridley S, Plenderleith L. Survival after intensive care. Comparison with a matched normal population as an indicator of effectiveness. Anaesthesia 1994, 49:933-935. 10.1111/j.1365-2044.1994.tb04306.x, 7802234.
37. Iapichino G, Radrizzani D, Bertolini G, Ferla L, Pasetti G, Pezzi A, Porta F, Miranda DR. Daily classification of the level of care. A method to describe clinical course of illness, use of resources and quality of intensive care assistance. Intensive Care Med 2001, 27:131-136. 10.1007/s001340000776, 11280624.