Cost Calculation and Prediction in Adult Intensive Care: A Ground-up Utilization Study

Moran, John L.; Peisach, A R; Solomon, P. J.; Martin, J.

doi:10.1177/0310057x0403200610

Cited by 43 publications

(51 citation statements)

References 38 publications

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“…Moran et al ., also reported that the survivors and nonsurvivors in Australian ICUs had significantly different variances of the total overhead costs and length of ICU stay. [10]…”

Section: Discussionmentioning

confidence: 99%

Economic analysis of costs associated with a Respiratory Intensive Care Unit in a tertiary care teaching hospital in Northern India

Kumari

Kumar

Gupta

et al. 2013

Indian Journal of Critical Care Medicine

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Background:There is a paucity of cost analytical studies from resource constrained developing countries defining intensive care costs and their containment.Objective:Economic analysis of costs in a Respiratory Intensive Care Unit (RICU) of a tertiary care teaching hospital in northern India.Materials and Methods:A prospective study was conducted in 74 patients admitted in the RICU. Costs were segregated into fixed and variable costs. Total and categorized costs averaged per day and costs incurred on the first day of the RICU stay were calculated. Correlation of the costs was performed with the length of stay, length of mechanical ventilation, survival, and therapeutic intervention scoring system-28 (TISS-28).Results:The total cost per day was Indian rupees (INR) 10,364 (US $ 222). 46.4% of the total cost was borne by hospital and rest by patients. The mean cost represented 36.8% of the total cost and 69.8% of the variable cost. Expenditure on personnel salary constituted 37% of the total costs and 86% of the fixed cost. Length of stay in RICU was significantly higher in nonsurvivors (14.73 ± 13.6 days) vs. survivors (8.3 ± 7.8 days) (P < 0.05). The TISS-28 score points in survivors was 30.6 vs. nonsurvivors 69.2 per nurse (P < 0.05) correlating strongly with the total cost (r = 0.91).Conclusion:Although considerably less expensive than in economically developed countries, intensive care in India remains expensive relative to the cost of living. The cost block methodology provides a framework for cost estimation, aids resource allocation and allows international comparisons of economic models.

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“…Moran et al ., also reported that the survivors and nonsurvivors in Australian ICUs had significantly different variances of the total overhead costs and length of ICU stay. [10]…”

Section: Discussionmentioning

confidence: 99%

Economic analysis of costs associated with a Respiratory Intensive Care Unit in a tertiary care teaching hospital in Northern India

Kumari

Kumar

Gupta

et al. 2013

Indian Journal of Critical Care Medicine

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“…Cost data for ICU patient stay, including all related management activity, but excluding costs associated with provision of services external to the ICU, was generated from a 3‐month study (1991) in three South Australian adult ICUs; an in‐detail analysis of this data has recently been reported [13]; where separate predictive models for survivors and non‐survivors were presented. For all patients ( n = 1333) [13] recorded total (1991) mean (SD) patient costs per ICU episode as A$6801 (10 311) with ICU length of stay 3.9 (6.1) days; using standard inflation adjustments, mean calendar year 2002 costs were A$9343. The computed (2002) occupied ICU bed‐day costs at A$ 2395 were, as noted by Rechner & Lipman [14] quite similar to two recent studies: A$2670 for calendar year 2003 [14], from Australia, and approximately A$2400 for financial year 2000–01 [15], from the UK.…”

Section: Methodsmentioning

confidence: 99%

New models for old questions: generalized linear models for cost prediction

Moran

Solomon

Peisach

et al. 2007

Evaluation Clinical Practice

155

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“…Im Unterschied dazu werden bei der Bottom-up-Methode sämtliche erbrachten Leistungen detailliert erfasst und dann monetär bewertet [11,12,13]. Notwendige Voraussetzung ist hier jedoch eine detaillierte Erfassung der Einzelleistungen.…”

Section: Trends Und Medizinökonomieunclassified

Kosten der intensivmedizinischen Versorgung in einem deutschen Krankenhaus

Martin¹,

Neurohr

Bauer

et al. 2008

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For the first time, a cost analysis of intensive care in Germany was performed with routine data based on the matrix of the institute for reimbursement in hospitals (InEK). The results revealed a higher resource use on the ICU than previously expected. The large share of personnel costs on the ICU was evident but is comparable to other medical departments in the hospital. The need for mechanical ventilation increases the daily costs of resources by approximately 25%.

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Cost Calculation and Prediction in Adult Intensive Care: A Ground-up Utilization Study

Cited by 43 publications

References 38 publications

Economic analysis of costs associated with a Respiratory Intensive Care Unit in a tertiary care teaching hospital in Northern India

Economic analysis of costs associated with a Respiratory Intensive Care Unit in a tertiary care teaching hospital in Northern India

New models for old questions: generalized linear models for cost prediction

Kosten der intensivmedizinischen Versorgung in einem deutschen Krankenhaus

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