Outcome and costs of intensive care. A follow-up study on patients requiring prolonged mechanical ventilation
| Autor: | J. Thoner |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Male Artificial ventilation Pediatrics medicine.medical_specialty Time Factors Adolescent Critical Care Cost effectiveness Cost-Benefit Analysis medicine.medical_treatment Intermittent Positive-Pressure Ventilation Hospitals University Positive-Pressure Respiration Quality of life Intensive care Health care medicine Humans Child Prospective cohort study health care economics and organizations Aged Aged 80 and over Mechanical ventilation Cost–benefit analysis Norway business.industry General Medicine Middle Aged Outcome and Process Assessment Health Care Anesthesiology and Pain Medicine Child Preschool Quality of Life population characteristics Female business Follow-Up Studies |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 31:693-698 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.1987.tb02647.x |
| Popis: | This historically prospective study analysed hospital costs and long-term outcome in 249 consecutive patients who required intensive care including intermittent positive pressure ventilation (IPPV) for 48 h or more. The mean age of the patients was 46.7 years and the mean duration on IPPV was 9.1 days. Mortality in hospital was 43%, increasing to 54.6% five years after admission. The mean cost per patient treated was 22,823 US dollars (USD (1980 value]. The mean cost to yield one survivor was 40,035 USD. The mean cost per survivor was 26,056 USD, whereas that of a non-survivor was 18,500 USD. The cost-benefit ratio, i.e. calculated cost per year of extended life until the age of 75 years, averaged 1420 USD (range 360-7980 USD). With the exception of patients suffering from cancerous diseases, the cost-benefit ratio found in this study was favourable in comparison to other high-cost medical care. This is further emphasized by the fact that for the years saved, the quality of life was mostly good. |
| Databáze: | OpenAIRE |
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