Association between Medical Costs and the ProVent Model in Patients Requiring Prolonged Mechanical Ventilation

Autor: Jiyeon Roh, M.D., Myung-Jun Shin, M.D., Eun Suk Jeong, R.N., Kwangha Lee, M.D., Ph.D.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Tuberculosis and Respiratory Diseases, Vol 82, Iss 2, Pp 166-172 (2019)
Druh dokumentu: article
ISSN: 1738-3536
2005-6184
DOI: 10.4046/trd.2018.0065&code=0003TRD&vmode=FULL
Popis: Background The purpose of this study was to determine whether components of the ProVent model can predict the high medical costs in Korean patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]). Methods Retrospective data from 302 patients (61.6% male; median age, 63.0 years) who had received PMV in the past 5 years were analyzed. To determine the relationship between medical cost per patient and components of the ProVent model, we collected the following data on day 21 of mechanical ventilation (MV): age, blood platelet count, requirement for hemodialysis, and requirement for vasopressors. Results The mortality rate in the intensive care unit (ICU) was 31.5%. The average medical costs per patient during ICU and total hospital (ICU and general ward) stay were 35,105 and 41,110 US dollars (USD), respectively. The following components of the ProVent model were associated with higher medical costs during ICU stay: age
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