Health care utilization and the cost of posttraumatic acute respiratory distress syndrome care
| Autor: | Carolyn M. Hendrickson, Carolyn S. Calfee, Farzad Moazed, Amanda S. Conroy, Benjamin M. Howard, Lucy Z. Kornblith, Anamaria J. Robles, Rachael A. Callcut, Mitchell J. Cohen |
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| Rok vydání: | 2018 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty ARDS education.field_of_study business.industry medicine.medical_treatment Population 030208 emergency & critical care medicine Disease Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Emergency medicine Severity of illness Health care medicine Surgery 030212 general & internal medicine business education Prospective cohort study Cohort study |
| Zdroj: | Journal of Trauma and Acute Care Surgery. 85:148-154 |
| ISSN: | 2163-0763 2163-0755 |
| DOI: | 10.1097/ta.0000000000001926 |
| Popis: | Background Posttraumatic acute respiratory distress syndrome (ARDS) is associated with prolonged mechanical ventilation and longer hospitalizations. The relationship between posttraumatic ARDS severity and financial burden has not been previously studied. We hypothesized that increasing ARDS severity is associated with incrementally higher health care costs. Methods Adults arriving as the highest level of trauma activation were enrolled in an ongoing prospective cohort study. Patients who survived 6 hours or longer are included in the analysis. Blinded review of chest radiographs was performed by two independent physicians for any intubated patient with PaO2:FIO2 ratio of 300 mmHg or lower during the first 8 days of admission. The severity of ARDS was classified by the Berlin criteria. Hospital charge data were used to perform standard costing analysis. Results Acute respiratory distress syndrome occurred in 13% (203 of 1,586). The distribution of disease severity was 33% mild, 42% moderate, and 25% severe. Patients with ARDS were older (41 years vs. 35 years, p Conclusion The development of posttraumatic ARDS is associated with higher health care costs. Among trauma patients who develop ARDS, total hospital charges per day increase with worsening severity of disease. Prevention, early recognition, and treatment of ARDS after trauma are potentially important objectives for efforts to control health care costs in this population. Level of evidence Economic and value-based evaluations, level IV. |
| Databáze: | OpenAIRE |
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