Inter-hospital variation in the utilization of diagnostics and their proportionality in the management of adult community-acquired pneumonia
| Autor: | Vestjens, Stefan M T, Wittermans, Esther, Spoorenberg, Simone M C, Grutters, Jan C, van Ruitenbeek, Charlotte A, Voorn, G Paul, Bos, Willem Jan W, van de Garde, Ewoudt M W, Afd Pharmacoepi & Clinical Pharmacology, Pharmacoepidemiology and Clinical Pharmacology |
|---|---|
| Přispěvatelé: | Afd Pharmacoepi & Clinical Pharmacology, Pharmacoepidemiology and Clinical Pharmacology |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Future studies Community-acquired pneumonia 030106 microbiology Antimicrobial stewardship Choosing wisely 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine lcsh:RC705-779 business.industry Brief Report lcsh:Diseases of the respiratory system medicine.disease Icu admission Pneumonia Cost driver Radiological weapon Emergency medicine Adjunctive treatment Costs and cost analysis Microbiological testing business |
| Zdroj: | Pneumonia Pneumonia, 10(15). BioMed Central Pneumonia, Vol 10, Iss 1, Pp 1-5 (2018) |
| ISSN: | 2200-6133 |
| Popis: | Background Utilization of diagnostics and biomarkers are the second largest cost drivers in the management of patients hospitalized with community-acquired pneumonia (CAP). The present study aimed to systematically assess the inter-hospital variation in these cost drivers in relation to antibiotic use in CAP. Methods Detailed resource utilization data from 300 patients who participated in a multicenter placebo-controlled trial investigating dexamethasone as adjunctive treatment for community-acquired pneumonia was grouped into 3 categories: clinical chemistry testing, radiological exams, and microbiological testing. Based on the identified top 5 items per category, average costs were calculated per category and per hospital. Antibiotic de-escalation at day 3 and secondary ICU admission were assessed as outcomes for proportionality of diagnostics use. Results The mean costs for diagnostics varied between hospitals from 350 (SD 31) to 841 (SD 37) euro per patient (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink