Outcome and costs of intensive care

Abstract

A retrospective follow-up study was performed on 238 consecutive admissions in the surgical ICU. The patients were grouped into four categories according to the therapeutic intervention scoring system: 14 in class I, 13 in class II, 81 in class III and 130 in class IV. The mortality rate during their stay in the ICU (5.4%), after discharge from the ICU (2.1%) and 2 years after discharge from the hospital (7.6%) was estimated. The functional state after discharge from the hospital showed that 74% of the patients resumed their normal work, 10% were handicapped but self-reliant, and 1.3% were dependent on others in order to pursue their daily activities. Fifty-two percent of the total hospitalization costs were generated during the ICU stage which accounted for 17.5% of the hospitalization period. Sixty percent of the total financial investment was spent on the group of survivors who resumed normal work. The mean cost per survivor was $7095 or $1 per survivor per day of active life over an average span of 15 years survival after discharge from the hospital.

The underappreciated role of muscle in health and disease

“…The extent and duration of the debilitation resulting from critical illness is dramatic; 50% of individuals employed before entering an intensive care unit return to work in the first year after discharge (15). Extensive losses of muscle mass, strength, and function during acute hospitalization causing sustained physical impairment were likely contributors to the prolonged recovery.…”

Senyvo amžiaus asmenų griuvimams įtakos turinčių fizinių, kognityvinių savybių raiška ir jų sąsajos

“…Žmogaus funkcinio pajėgumo sumažėjimo mastas ir trukmė, patyrus kritines sveikatos bū-kles -dramatiškas. Tyrimai rodo, jog mažiau kaip 50 procentų žmonių po kritinių sveikatos sutrikimų grįžta į darbą anksčiau kaip metai po išrašymo iš ligoninės stacionaro [2].…”

Cost and reimbursement analysis of selected hospital diagnoses via activity-based costing

“…These include the use of average costs obtained from dividing total annual expenditure by patient throughput [3], the use of severity of illness and workload scoring systems [26] and billing systems [12]. Carvalho Jericó and Castilho [6] stated that most hospitals employing cost management systems utilized the absorption method.…”