ArticleAnnals of the American Thoracic Society2015
Patterns of Daily Costs Differ for Medical and Surgical Intensive Care Unit Patients.
Article in Annals of the American Thoracic Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
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- Cost-Effectiveness of Pantoprazole to Prevent Upper Gastrointestinal Bleeding in Mechanically Ventilated Patients.JAMA network open · 2025Article
- Multi-institutional model to predict intensive care unit length of stay after cardiac surgery.The Journal of thoracic and cardiovascular surgery · 2025Article
- Portable wireless monitoring of vital signs in hospital wards.BJA education · 2025Review
- Cost-Effectiveness Analysis of a Heart Failure Management System in the United States.Journal of health economics and outcomes research · 2025Article
- Erratum: Characteristics and Comorbidities Influencing Mortality Risk Among Hereditary Angioedema Patients.Journal of health economics and outcomes research · 2025Article
- Characteristics and Comorbidities Influencing Mortality Risk Among Hereditary Angioedema Patients.Journal of health economics and outcomes research · 2025Article
- Characterizing Utilization and Outcomes of Digoxin Immune Fab for Digoxin Toxicity.Drugs - real world outcomes · 2024Article
- Interventions to promote cost-effectiveness in adult intensive care units: consensus statement and considerations for best practice from a multidisciplinary and multinational eDelphi study.Critical care (London, England) · 2023Article
- Development of an automated, general-purpose prediction tool for postoperative respiratory failure using machine learning: A retrospective cohort study.Journal of clinical anesthesia · 2023Article
- Cost-Effectiveness and Budget Impact of a Novel Antithrombotic Drug Removal System to Reduce Bleeding Risk in Patients on Preoperative Ticagrelor Undergoing Cardiac Surgery.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023Article
- Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery.Perioperative medicine (London, England) · 2022Article
- Cost-Effectiveness of Chimeric Antigen Receptor T Cell Therapy in Patients with Relapsed or Refractory Large B Cell Lymphoma: No Impact of Site of Care.Advances in therapy · 2022Article
- Pancreatic stone protein point-of-care testing can reduce healthcare expenditure in sepsis.Health economics review · 2022Article
- Effect of Coronavirus Disease 2019 (Covid-19), a Nationwide Mass Casualty Disaster on Intensive Care Units: Clinical Outcomes and Associated Cost-of-Care.Disaster medicine and public health preparedness · 2022Article
- Cost-effectiveness and system-wide impact of using Hepatitis C-viremic donors for heart transplant.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022Article
- On Missingness Features in Machine Learning Models for Critical Care: Observational Study.JMIR medical informatics · 2021Article
- Health economic impact of first-pass success among patients with acute ischemic stroke treated with mechanical thrombectomy: a United States and European perspective.Journal of neurointerventional surgery · 2021Article
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Funding
No grant is acknowledged in the PubMed record.
Abstract
rationalePublished studies suggest hospital costs on Day 1 in the intensive care unit (ICU) far exceed those of subsequent days, when costs are relatively stable. Yet, no study stratified patients by ICU type.
objectivesTo determine whether daily cost patterns differ by ICU type.
methodsWe performed a retrospective study of adults admitted to five ICUs (two surgical: quaternary surgical ICU [SICU quat] and quaternary cardiac surgical ICU [CSICU quat]; two medical: tertiary medical ICU [MICU tertiary] and quaternary medical ICU [MICU quat]; one general: community medical surgical ICU [MSICU comm]) at Montefiore Medical Center in the Bronx, New York during 2013. After excluding costs clearly accrued outside the ICU, daily hospital costs were merged with clinical data. Patterns of daily unadjusted costs were evaluated in each ICU using median regression. Generalized estimating equations with first-order autocorrelation were used to identify factors independently associated with daily costs. MEASUREMENTS AND MAIN
resultsUnadjusted daily costs were higher on Day 1 than on subsequent days only for surgical ICUs-SICU quat (median [interquartile range], $2,636 [$1,834-$4,282] on Day 1 vs. $1,840 [$1,501-$2,332] on Day 2; P < 0.001) and CSICU quat ($5,166 [$3,136-$9,493] on Day 1 vs. $2,060 [$1,336-$2,528] on Day 2; P < 0.001). In nonsurgical ICUs, there was no change (MICU tertiary P = 0.12) or a small increase (MSICU comm P = 0.03; MICU quat P = 0.01) in cost from Days 1 to 2. After multivariate adjustment, there remained a significant decrease in cost from ICU Day 1 to 2 in surgical units with statistically similar Day 1 and 2 costs for other ICUs.
conclusionsHigher Day 1 costs are not seen in patients admitted to medical/nonsurgical ICUs.
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