Review of a large clinical series: A microcosting study of intensive care unit stay in the Netherlands
The primary objective of this study was to estimate the actual daily costs of intensive care unit stay using a microcosting methodology. As a secondary objective, the degree of association between daily intensive care unit costs and some patient characteristics was examined. This multicenter, retrospective cost analysis was conducted in the medical-surgical adult intensive care units of 1 university and 2 general hospitals in the Netherlands for 2006, from a hospital perspective. A total of 576 adult patients were included, consuming a total of 2868 nursing days. The mean total costs per intensive care unit day were 1911, with labour (33%) and indirect costs (33%) as the most important cost drivers. An ordinary least squares analysis including age, Nine Equivalent of Nursing Manpower Use score/Therapeutic Intervention Scoring System score, mechanical ventilation, blood products, and renal replacement therapy was able to predict 50% of the daily intensive care unit costs.
|Keywords||Cost analysis, ICU stay, Intensive care, Mechanical ventilation, Microcosting|
|Persistent URL||dx.doi.org/10.1177/0885066608318661, hdl.handle.net/1765/29821|
Tan, S.S., van Hakkaart-van Roijen, L., Al, M.J., Bouwmans, C.A.M., Hoogendoorn, M.E., Spronk, P.E., & Bakker, J.. (2008). Review of a large clinical series: A microcosting study of intensive care unit stay in the Netherlands. Journal of Intensive Care Medicine, 23(4), 250–257. doi:10.1177/0885066608318661