ArticleJournal of palliative medicine2016
Patterns of Cost for Patients Dying in the Intensive Care Unit and Implications for Cost Savings of Palliative Care Interventions.
Article in Journal of palliative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed.
- Cost Effectiveness of Endovascular Thrombectomy for Large Ischemic Strokes: A US Healthcare Payer Markov Model Informed by Randomized Trials.Applied health economics and health policy · 2026Article
- Critical Care After Thrombolytic Therapy in Acute Stroke: Who Really Needs the ICU?Journal of clinical medicine · 2026Article
- Cost-Effectiveness of Pantoprazole to Prevent Upper Gastrointestinal Bleeding in Mechanically Ventilated Patients.JAMA network open · 2025Article
- Comparison of factors influencing the decision to withdraw life-sustaining treatment in intensive care unit patients after implementation of the Life-Sustaining Treatment Act in Korea.Acute and critical care · 2024Article
- Endovascular Thrombectomy with or without Bridging Thrombolysis in Acute Ischemic Stroke: A Cost-Effectiveness Analysis.Neuroepidemiology · 2024Article
- Limitation of Non-Beneficial Interventions and their Impact on the Intensive Care Unit Costs.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2023Article
- Impact of admitting department on the management of acute coronary syndrome after an out of hospital cardiac arrest.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2023Article
- Comparative costs for critically ill patients with limited English proficiency versus English proficiency.PloS one · 2023Article
- Cardiac intensive care unit: where we are in 2023.Frontiers in cardiovascular medicine · 2023Review
- Cost and Return on Investment of a Team-Based Palliative Care Program for Parkinson Disease.Neurology. Clinical practice · 2022Article
- ACO Spending and Utilization Among Medicare Patients at the End of Life: an Observational Study.Journal of general internal medicine · 2022Observational
- Effects of Medicare advantage on patterns of end-of-life care among Medicare decedents.Health services research · 2022Article
- Improving Outcomes Measurement in Palliative Care: The Lasting Impact of Randy Curtis and his Collaborators.Journal of pain and symptom management · 2022Article
- Inpatient outcomes and racial disparities of palliative care consults in mechanically ventilated patients in the United States.Proceedings (Baylor University. Medical Center) · 2022Article
- Bereavement in critical care: A narrative review and practice exploration of current provision of support services and future challenges.Journal of the Intensive Care Society · 2021Article
- Incidence and Risk Model Development for Severe Tachypnea Following Terminal Extubation.Chest · 2020Article
- Role of Critical Care Medicine Training in the Cardiovascular Intensive Care Unit: Survey Responses From Dual Certified Critical Care Cardiologists.Journal of the American Heart Association · 2019Article
- Legislative Enforcement of Nonconsensual Determination of Neurological (Brain) Death in Muslim Patients: A Violation of Religious Rights.Journal of religion and health · 2018Article
- Evaluating the Economic Impact of Palliative and End-of-Life Care Interventions on Intensive Care Unit Utilization and Costs from the Hospital and Healthcare System Perspective.Journal of palliative medicine · 2017Article
- Potentially Avoidable Surgical Intensive Care Unit Admissions and Disposition Delays.JAMA surgery · 2017Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundTerminal intensive care unit (ICU) stays represent an important target to increase value of care.
objectiveTo characterize patterns of daily costs of ICU care at the end of life and, based on these patterns, examine the role for palliative care interventions in enhancing value.
designSecondary analysis of an intervention study to improve quality of care for critically ill patients. SETTING/PATIENTS: 572 patients who died in the ICU between 2003 and 2005 at a Level-1 trauma center.
methodsData were linked with hospital financial records. Costs were categorized into direct fixed, direct variable, and indirect costs. Patterns of daily costs were explored using generalized estimating equations stratified by length of stay, cause of death, ICU type, and insurance status. Estimates from the literature of effects of palliative care interventions on ICU utilization were used to simulate potential cost savings under different time horizons and reimbursement models. MAIN
resultsMean cost for a terminal ICU stay was 39.3K ± 45.1K. Direct fixed costs represented 45% of total hospital costs, direct variable costs 20%, and indirect costs 34%. Day of admission was most expensive (mean 9.6K ± 7.6K); average cost for subsequent days was 4.8K ± 3.4K and stable over time and patient characteristics.
conclusionsTerminal ICU stays display consistent cost patterns across patient characteristics. Savings can be realized with interventions that align care with patient preferences, helping to prevent unwanted ICU utilization at end of life. Cost modeling suggests that implications vary depending on time horizon and reimbursement models.
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Registered trials
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