ArticleCritical care (London, England)2017
Critical care at the end of life: a population-level cohort study of cost and outcomes.
Article in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Coaching doctors to improve ethical decision-making in adult hospitalized patients potentially receiving excessive treatment. The CODE stepped-wedge cluster randomized controlled trial.Intensive care medicine · 2024Trial
- Potentially burdensome end-of-life care for colorectal cancer decedents: A retrospective cohort study.Palliative & supportive care · 2026Article
- Risk Factors of Post-Traumatic Stress Disorder Symptom Trajectories for ICU Bereaved Family Members.Annals of the American Thoracic Society · 2025Article
- Laboratory Test Use and Values in the Last Year of Life-a Matched Cohort Design.Canadian geriatrics journal : CGJ · 2025Article
- Surgeon Sex and Health Care Costs for Patients Undergoing Common Surgical Procedures.JAMA surgery · 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
- Temporal reciprocal relationships among anxiety, depression, and posttraumatic stress disorder for family surrogates from intensive care units over their first two bereavement years.BMC psychiatry · 2023Observational
- Article
- Is this as good as it gets? Implications of an asymptotic mortality decline and approaching the nadir in pediatric intensive care.European journal of pediatrics · 2022Review
- Trends in clinical profiles, organ support use and outcomes of patients with cancer requiring unplanned ICU admission: a multicenter cohort study.Intensive care medicine · 2021Article
- Change in inappropriate critical care over time.Journal of critical care · 2020Article
- Resource utilisation and description of patients perceived as receiving inappropriate critical care.Intensive & critical care nursing · 2019Article
- The cost of treatment and its related complications for men who receive surgery or radiation therapy for prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019Article
- Emergency Department disposition decisions and associated mortality and costs in ICU patients with suspected infection.Critical care (London, England) · 2018Article
- Article
- Cost of Futile ICU Care in One Ontario Hospital.Inquiry : a journal of medical care organization, provision and financingArticle
- Palliative Approach to Care Education for Multidisciplinary Staff of Long-Term Care Homes: A Pretest Post-Test Study.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the high cost associated with ICU use at the end of life, very little is known at a population level about the characteristics of users and their end of life experience. In this study, our goal was to characterize decedents who received intensive care near the end of life and examine their overall health care use prior to death.
methodsThis was a retrospective cohort study that examined all deaths in a 3-year period from April 2010 to March 2013 in Ontario, Canada. Using population-based health administrative databases, we examined healthcare use and cost in the last year of life.
resultsThere were 264,754 individuals included in the study, of whom 18% used the ICU in the last 90 days of life; 34.5% of these ICU users were older than 80 years of age and 53.0% had more than five chronic conditions. The average cost of stay for these decedents was CA$15,511 to CA$25,526 greater than for those who were not admitted to the ICU. These individuals also died more frequently in hospital (88.7% vs 36.2%), and spent more time in acute-care settings (18.7 days vs. 10.5 days).
conclusionsWe showed at a population level that a significant proportion of those with ICU use close to death are older, multi-morbid individuals who incur significantly greater costs and die largely in hospital, with higher rates of readmission, longer lengths of stay and higher rates of aggressive care.
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