Mejora en la eficiencia del manejo del paciente ingresado en una unidad de cuidados respiratorios intermedios tras la introducción de un proceso asistencial integrado

Galdeano-Lozano, Marina; Alfaro-Álvarez, Jessica; Heili-Frades, Sarah; Parra-Macías, N.; Parra-Ordaz, O.

doi:10.1016/j.jhqr.2021.02.007

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…Description of the cost avoided was based on the total cost of the unit. A calculation of the hospitalization costs of the IRCU was performed for a total of 56 patients over a period of two months based on the rates detailed in a study carried out at our center prior to the COVID-19 pandemic [21].…”

Section: Resultsmentioning

confidence: 99%

“…There was no significant difference between the average cost of dispensing a drug in the ICU and in the IRCU. The total pharmacy expenditure amounted to €5124 (some €3713 more than the previous total of €8468 during the pre-pandemic period according to a recent study [21]. The total cost of the IRCU during the study period as the sum of the categories described above amounted to €66,233.…”

Section: Resultsmentioning

confidence: 99%

“…The implementation of IRCUs is not yet universal in our health system, with a consequent increase in health care expenditure and limitations in the use of adequate resources in each case [18][19][20][21]. IRCUs allow for an adequate selection of subsidiary patients who would benefit from invasive mechanical ventilation (IMV) [14,15], while also treating patients with a more advanced age and/or with associated frailty.…”

Section: Introductionmentioning

confidence: 99%

“…This characteristic has become more evident in patients with SARS-CoV-2 pneumonia in need of respiratory support [16,17]. Considerable [18][19][20][21] economic savings have been described for these units.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia

Lozano

Álvarez

Macías

et al. 2022

IJERPH

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Objectives: During the COVID-19 pandemic, the risk of collapse for the health system created great difficulties. We will demonstrate that intermediate respiratory care units (IRCU) provide adequate management of patients with non-invasive respiratory support, which is particularly important for patients with SARS-CoV-2 pneumonia. Methods: A prospective observational study of patients with COVID-19 admitted to the ICU of a tertiary hospital. Sociodemographic data, comorbidities, pharmacological, respiratory support, laboratory and blood gas variables were collected. The overall cost of the unit was subsequently analyzed. Results: 991 patients were admitted, 56 to the IRCU (from a of 81 admitted to the critical care unit). Mean age was 65 years (SD 12.8), Barthel index 75 (SD 8.3), Charlson comorbidity index 3.1 (SD 2.2), HTN 27%, COPD 89% and obesity 24%. A significant relationship (p < 0.05) with higher mortality was noted for the following parameters: fever greater than or equal to 39 °C [OR 5.6; 95% CI (1.2–2.7); p = 0.020], protocolized pharmacological treatment [OR 0.3; 95% CI (0.1–0.9); p = 0.023] and IOI [OR 3.7; 95% CI (1.1–12.3); p = 0.025]. NIMV had less of a negative impact [OR 1.8; 95% CI (0.4–8.4); p = 0.423] than IOI. The total cost of the IRCU amounted to €66,233. The cost per day of stay in the IRCU was €164 per patient. The total cost avoided was €214,865. Conclusions: The pandemic has highlighted the importance of IRCUs in facilitating the management of a high patient volume. The treatment carried out in IRCUs is effective and efficient, reducing both admissions to and stays in the ICU.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia

Lozano

Álvarez

Macías

et al. 2022

IJERPH

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Effectiveness of Intermediate Respiratory Care Units as An Alternative to Intensive Care Units During The Covid-19 Pandemic in Catalonia

Lozano¹,

Alvarez²,

Macías³

et al. 2022

Preprint

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OBJETIVES: During the COVID-19 pandemic, the risk of collapse of the health system created great difficulties. We will demonstrate that Intermediate Respiratory Care Units (IRCU) provide adequate management of patients with non-invasive respiratory support, which is particularly important in patients with SARS-CoV-2 pneumonia. METHODS: A prospective observational study of patients with COVID-19 admitted to the ICU of a tertiary hospital. Sociodemographic data, comorbidities, pharmacological, respiratory support, laboratory and blood gas variables were collected. The overall cost of the unit was subsequently analyzed. RESULTS: 991 patients were admitted, 56 to the IRCU (of the 81 a critical care unit). Mean age was 65 years (SD 12.8), Barthel Index 75 (SD 8.3), Charlson 3.1 (SD 2.2), HTN 27%, COPD 89% and obesity 24%. Significant relationship (p <0.05) with higher mortality of the following: fever greater than or equal to 39oC [OR 5.6; 95% CI (1.2-2.7); p = 0.020], protocolized pharmacological treatment [OR 0.3; 95% CI (0.1-0.9); p = 0.023] and IOI [OR 3.7; 95% CI (1.1-12.3); p = 0.025]. NIMV showed less of a negative impact [OR 1.8; 95% CI (0.4-8.4); p = 0.423] than IOI. The total cost of the IRCUs amounted to €66,233. The cost per day of stay in the IRCU was €164 per patient. The total cost avoided was €214,865. CONCLUSION: The pandemic has highlighted the importance of IRCUs in facilitating the management of a high patient volume. The treatment carried out in IRCUs is effective and efficient, reducing both admissions to and stays in the ICU.

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Mejora en la eficiencia del manejo del paciente ingresado en una unidad de cuidados respiratorios intermedios tras la introducción de un proceso asistencial integrado

Cited by 2 publications

References 10 publications

Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia

Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia

Effectiveness of Intermediate Respiratory Care Units as An Alternative to Intensive Care Units During The Covid-19 Pandemic in Catalonia

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