ArticleClinicoEconomics and outcomes research : CEOR2019
Characteristics and outcome of high-cost ICU patients.
Article in ClinicoEconomics and outcomes research : CEOR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Health economic evaluation of polytrauma treatment in the current aG-DRG system - Results of a Level I Trauma Center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Admission Biomarkers as Predictors of Mortality in Comatose Patients in the Intensive Care Unit: A Retrospective Pilot Study.Diagnostics (Basel, Switzerland) · 2026Article
- Evaluating the Socioeconomic Impact on Critical Care Delivery in Low- and Middle-Income Countries: A Prospective Observational Study From Nigeria.Critical care explorations · 2025Observational
- Making sense of the outcome of a rehabilitation implementation trial in the intensive care unit: Mixed methods.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- The impact of age on mortality in the intensive care unit: a retrospective cohort study in Malaysia.Acute and critical care · 2024Article
- Incidence and predictors of mortality among patients admitted to adult intensive care unit at public hospitals in Western Ethiopia: a retrospective cohort study.Frontiers in medicine · 2024Article
- Older high-cost patients in Norwegian somatic hospitals: a register-based study of patient characteristics.BMJ open · 2023Observational
- 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
- Cost-benefit analysis of Intensive Care Unit with Activity-Based Costing approach in the era COVID-19 pandemic: A case study from Iran.PloS one · 2023Article
- The economic burden of malaria inpatients and its determinants during China's elimination stage.Frontiers in public health · 2022Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeCare at ICUs is expensive and variable depending on the type of care that the patients received. Knowing the characteristics of the patient and his or her disease is always useful for improving health services and cost containment. PATIENTS AND
methodsAn observational study was conducted at four different intensive care units of an academic medical institution. Demographic characteristics, disease-management casemix information, cost and outcome of the high costing decile, and the rest of the cases were compared.
resultsA total of 3,220 discharges were included in the study. The high-cost group contributed 35.4% of the ICU stays and 38.8% of the total ICU expenditure. Diseases of the central nervous system had higher odds to be in the top decile of costly patients whereas the cardiovascular system was more likely to be in the non-high cost category. The high-cost patients were more likely to have death as an outcome (19.2% vs 9.3%;
conclusionHigh-cost patients utilized almost 40% of the ICU cost although they were only 10% of the ICU patients. The chances of admission to the ICU increased with older age and severity level of the disease. Central nervous system diseases were the major problem of patients aged 46-69 years old. In addition to cost reduction strategies at the treatment level, detailed analysis of these cases was needed to explore and identify pre-event stage prevention strategies.
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