Study of length of stay and average cost of treatment in Medicine Intensive Care Unit at tertiary care center

Agrawal, Aditi; Gandhe, Mahendra Bhauraoji; Gandhe, Swapnali Mahendra; Agrawal, Nikhil

doi:10.4103/2394-2010.199329

Cited by 16 publications

(22 citation statements)

References 1 publication

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“…Transl Pediatr 2021 | http://dx.doi.org/10.21037/tp-20-310 evidence may be lead to far more successful outcomes (52,63).…”

Section: Critical Care Is Expensive! Can An Inexpensive Model Be Developed?mentioning

confidence: 99%

Challenges and Solutions in translating sepsis guidelines into practice in resource-limited settings

Ranjit¹,

Kissoon²

2021

Transl Pediatr

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Sepsis and septic shock are major contributors to the global burden of disease, with a large proportion of patients and deaths with sepsis estimated to occur in low-and middle-income countries (LMICs). There are numerous barriers to reducing the large global burden of sepsis including challenges in quantifying attributable morbidity and mortality, poverty, inadequate awareness, health inequity, underresourced public health, and low-resilient acute health care delivery systems. Context-specific approaches to this significant problem are necessary on account of important differences in populations at-risk, the nature of infecting pathogens, and the healthcare capacity to manage sepsis in LMIC. We review these challenges and propose an outline of some solutions to tackle them which include strengthening the healthcare systems, accurate and early identification of sepsis the need for inclusive research and context-specific treatment guidelines, and advocacy. Specifically, strengthening pediatric intensive care units (PICU) services can effectively treat the life-threatening complications of common diseases, such as diarrhoea, respiratory infections, severe malaria, and dengue, thereby improving the quality of pediatric care overall without the need for expensive interventions. A thoughtful approach to developing paediatric intensive care services in LMICs begins with basic fundamentals: training healthcare providers in knowledge and skills, selecting effective equipment that is resource-appropriate, and having an enabling leadership to provide locationappropriate care. These basics, if built in sustainable manner, have the potential to permit an efficient pediatric critical care service to be established that can significantly improve sepsis and other critical care outcomes.

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“…Transl Pediatr 2021 | http://dx.doi.org/10.21037/tp-20-310 evidence may be lead to far more successful outcomes (52,63).…”

Section: Critical Care Is Expensive! Can An Inexpensive Model Be Developed?mentioning

confidence: 99%

Challenges and Solutions in translating sepsis guidelines into practice in resource-limited settings

Ranjit¹,

Kissoon²

2021

Transl Pediatr

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“…A substantial proportion of critical care costs in LMICs are to cover staffing and fixed asset equipment costs as opposed to actual medications and laboratory tests 15. Methods impacting these may be a way of reducing costs, allowing expansion of capacity as well as improving the care quality.…”

Section: What Can Be Done?mentioning

confidence: 99%

“…Costing studies conducted in high-income countries have reported average costs of ICU care between US$1700 and 4500 per day (adjusted to 2014 prices) 13 14. The delivery of critical care is less expensive in LMICs largely because of much lower labour costs; for example, a study based in an Indian hospital estimated the average daily cost of ICU care was US$109 (2014 prices) 15. Although this amount may appear low, the average annual healthcare expenditure per capita across LMICs is only around 5% that of high-income countries 16…”

Section: Introductionmentioning

confidence: 99%

Achieving affordable critical care in low-income and middle-income countries

et al. 2019

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“…As opposed to some other healthcare systems, a substantial portion of costs associated with critical care in developing nations is dedicated to the funding of staffing and acquisition of fixed equipment rather than the cost of medications or investigations. 7 A potential solution to such costs could be the emergence of wearable healthcare technology, leading to physiological monitoring becoming more cost-effective. Such technology may reduce the need for more expensive equipment to monitor physiological parameters and improve the quality of care when used in conjunction with newer technologies such as machine learning and artificial intelligence (AI).…”

Section: Monitoring Equipmentmentioning

confidence: 99%