The cost of intensive care: A comparison on one unit between 1988 and 1991

Singer, Mervyn; Myers, Sarah; Hall, Gareth; Cohen, Simon; Armstrong, R. F.

doi:10.1007/bf01705718

Cited by 79 publications

(32 citation statements)

References 8 publications

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“…Größere Unterschiede sind im internationalen Vergleich zu beobachten, mit mittleren Tageskosten verschiedener britischen Intensivstationen von € 1396,-bis € 1647,- [5,6,32] und € 1007,-pro Patient und Tag einer kanadischen Intensivstation [29].…”

Section: Kosten Der Intensivtherapieunclassified

Kostenanalyse und Prognoseabschätzung internistischer Intensivpatienten mittels des "Therapeutic Intervention Scoring System" (TISS und TISS-28)

Graf¹,

Graf

Koch³

et al. 2003

Medizinische Klinik

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Section: Kosten Der Intensivtherapieunclassified

Kostenanalyse und Prognoseabschätzung internistischer Intensivpatienten mittels des "Therapeutic Intervention Scoring System" (TISS und TISS-28)

Graf¹,

Graf

Koch³

et al. 2003

Medizinische Klinik

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“…A bed day on an acute medical ward costs, on average, £134.43 (range £110.93-£157.92) [13]. The unit cost of an ICU bed day [14] was uprated to £1,214.64 at 1992/1993 prices. Therefore, the estimated total annual cost of in-patient stay attributable to community-acquired pneumonia was £52.8 million for ICU stay, and £330.9 million for acute ward stay, a total of £383.7 million.…”

Section: In-patient Staymentioning

confidence: 99%

Community-acquired pneumonia: the annual cost to the National Health Service in the UK

Guest¹,

Morris²

1997

Eur Respir J

217

140

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The aim of this study was to estimate the direct annual healthcare costs to the UK National Health Service (NHS) of managing community-acquired pneumonia.Using a prevalence-based burden of illness approach, health service resource use and corresponding costs attributable to the management of community-acquired pneumonia during 1992/1993 in the UK were obtained from published sources and commercial databases, and supplemented by a telephone survey of general practitioners, finance directors, community nurses, receptionists and nurses in out-patient respiratory clinics, ambulance services, and consultant respiratory physicians. The study was appraised by a Peer Review Panel, representing a cross-section of experts from different locations. This study was a predefined subgroup analysis of a previous, larger study that estimated the annual cost to the NHS of treating all community-acquired lower respiratory tract infections.The analysis shows that there are 261,000 episodes of community-acquired pneumonia annually in the UK, costing £440.7 million at 1992/1993 prices (32% of the annual cost for all community-acquired lower respiratory tract infections). Approximately 83,153 annual cases of community-acquired pneumonia are treated in hospital (32% of all episodes) and account for 96% of the annual cost. The average cost for managing pneumonia in the community is £100 per episode, compared to £1,700-£5,100 when the patient is hospitalized, depending on the length of hospitalization. Hospitalization accounts for 87% of the total annual cost.In conclusion, community-acquired pneumonia in the UK incurs a direct healthcare cost of £440.7 million annually at 1992/1993 prices. Developing and implementing strategies to prevent and minimize hospitalization will significantly reduce this annual cost and should be assessed in future studies.

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“…Despite this high resource consumption, very few publications report the costs of intensive care. Furthermore, fundamental problems stem from both the different methods employed by individual studies [15][16][17][18][19] and the diversity of the ICU case mix. This makes valid comparisons difficult [20].…”

mentioning

confidence: 99%

“…Two studies from the UK have been published, investigating costs using the top-down method [15] and bottomup method [18]. The top-down methods produced costs in the range £700-1100 per patient day but the bottomup method clearly distinguished that caring for ventilated patients cost almost twice as much as caring for spontaneously breathing patients.…”

mentioning

confidence: 99%

The development of a method for comparative costing of individual intensive care units

et al. 1999

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SummaryIntensive care is one of the most costly areas of hospital care. Unfortunately, because of the diversity of case mix, costing intensive care is difficult. Many described costing methods previously are limited by being cumbersome, laborious to apply and expensive. The aim of this study was to develop a method for costing intensive care which can be applied with ease but facilitate meaningful cost comparisons between intensive care units. The method developed was based on cost blocks where the major components were identified and costed in a 'top-down' manner. Using strict definitions, the cost blocks attempted to measure the costs of equipment, estates, nonclinical support services (such as hospital management costs), clinical support services (such as physiotherapy, laboratory services), consumables (such as drugs, fluids and disposables) and staff. The study found that clinical support services, consumables and staff costs accounted for approximately 85% of the total costs.

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The cost of intensive care: A comparison on one unit between 1988 and 1991

Cited by 79 publications

References 8 publications

Kostenanalyse und Prognoseabschätzung internistischer Intensivpatienten mittels des "Therapeutic Intervention Scoring System" (TISS und TISS-28)

Kostenanalyse und Prognoseabschätzung internistischer Intensivpatienten mittels des "Therapeutic Intervention Scoring System" (TISS und TISS-28)

Community-acquired pneumonia: the annual cost to the National Health Service in the UK

The development of a method for comparative costing of individual intensive care units

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