Healthcare utilization and costs in ARDS survivors: a 1-year longitudinal national US multicenter study

Abstract

This multicenter longitudinal study found that 40% of ARDS survivors reported at least one post-discharge hospitalization during 12-month follow-up. Few patient- or ICU-related variables were associated with hospitalization; however, physical, psychiatric, and quality of life measures at 6-month follow-up were associated with subsequent hospitalization. Interventions to reduce post-ARDS morbidity may be important to improve patient outcomes and reduce healthcare utilization.

Ambulatory and stationary healthcare use in survivors of ARDS during the first year after discharge from ICU: findings from the DACAPO cohort

“…Overall, the median number of outpatient visits during the first year after discharge from ICU was 15, with a high variability between participants (IQR [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. The median number of outpatient visits to a general practitioner was 7 (IQR 4-12), and the median number for visits to physicians from any other specialty was 8 (IQR [4][5][6][7][8][9][10][11][12][13][14].…”

“…Only few previous studies from Canada and the USA have investigated healthcare use in survivors of ARDS [10][11][12]. Between 1998 and 2001, a Canadian cohort study included 109 ARDS survivors, 39% of which had been readmitted to hospital during the first 2 years following ARDS [10].…”

“…Between 1998 and 2001, a Canadian cohort study included 109 ARDS survivors, 39% of which had been readmitted to hospital during the first 2 years following ARDS [10]. Two more recent cohort studies from the USA report data for the first year after discharge from ICU: 40% out of 839 [11] and 52% out of 138 ARDS survivors [12] reported at least any hospitalization, respectively.…”

The Potential Health Care Costs And Resource Use Associated With COVID-19 In The United States

“…After hospital discharge, this patient accrues outcome-specific post-discharge costs for associated health care use for one year. 20,21 If this patient has ARDS, he/she incurs the reported median direct medical cost per patient, which includes additional hospitalization, skilled nursing facility stays, rehabilitation stays, and outpatient visits (including specialist, primary care provider, and occupational therapist visits). 21 If this patient has sepsis, he/she incurs the median cost paid to the providers for all-cause emergency department visits, outpatient visits, inpatient stays, and pharmacy costs for a patient surviving severe sepsis.…”

“…20,21 If this patient has ARDS, he/she incurs the reported median direct medical cost per patient, which includes additional hospitalization, skilled nursing facility stays, rehabilitation stays, and outpatient visits (including specialist, primary care provider, and occupational therapist visits). 21 If this patient has sepsis, he/she incurs the median cost paid to the providers for all-cause emergency department visits, outpatient visits, inpatient stays, and pharmacy costs for a patient surviving severe sepsis. 20 Data Sources Online appendix exhibit 1 shows the model input parameters, values, and data sources, and is divided into costs, probabilities, and population.…”