ArticleCritical care medicine2019
Impact of Critical Illness on Resource Utilization: A Comparison of Use in the Year Before and After ICU Admission.
Article in Critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Article
- Post-Intensive Care Fragmentation Among Rural Veterans: Transitions Between VA and Community Health Systems.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Characteristics and outcomes of patients with repeat rapid response team activations in a tertiary centre in Singapore.Singapore medical journal · 2026Article
- Rehospitalizations for ambulatory care sensitive conditions in sepsis survivors- a nationwide cohort study using health claims data 2016-2019.Infection · 2025Article
- Community-Based Rehabilitation and Patient-Centered Outcomes in Survivors of Critical COVID-19 Attending an Intensive Care Recovery Clinic.Archives of rehabilitation research and clinical translation · 2025Article
- Follow-up needs after paediatric critical care: A survey.Paediatrics & child health · 2025Article
- Surgeon Sex and Postoperative Resource Utilization: A Population-Based Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Health Resource Utilization and Outcomes Among Patients Who Receive Extracorporeal Membrane Oxygenation.CJC open · 2025Review
- Exploring the Landscape of Social and Economic Factors in Critical Illness Survivorship: A Scoping Review.Critical care explorations · 2025Article
- Distinct phenotypes of patients and healthcare resource utilization after hospitalization for COVID-19: an observational study.BMC health services research · 2025Observational
- The Financial Impact of Post Intensive Care Syndrome.Critical care clinics · 2025Review
- Effect of ICU Quality Control and Secondary Analysis: A 12-Year Multicenter Quality Improvement Project.Journal of multidisciplinary healthcare · 2025Article
- Effect of Inpatient Pharmacist-Led Medication Reconciliations on Medication-Related Interventions in Intensive Care Unit Recovery Centers.Hospital pharmacy · 2024Article
- Post-intensive care syndrome and health-related quality of life in long-term survivors of cardiac arrest: a prospective cohort study.Scientific reports · 2024Article
- Patterns of Healthcare Resource Utilisation of Critical Care Survivors between 2006 and 2017 in Wales: A Population-Based Study.Journal of clinical medicine · 2023Article
- Article
- Six-Month Quality of Life in COVID-19 Intensive Care Unit Survivors.Journal of cardiothoracic and vascular anesthesia · 2022Article
- Postacute Sequelae of COVID-19 Critical Illness.Critical care clinics · 2022Review
- Post-Intensive Care Syndrome and Its New Challenges in Coronavirus Disease 2019 (COVID-19) Pandemic: A Review of Recent Advances and Perspectives.Journal of clinical medicine · 2021Review
- Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors.Critical care explorations · 2021Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIncreasingly, patients admitted to an ICU survive to hospital discharge; many with ongoing medical needs. The full impact of an ICU admission on an individual's resource utilization and survivorship trajectory in the United States is not clear. We sought to compare healthcare utilization among ICU survivors in each year surrounding an ICU admission.
designRetrospective cohort of patients admitted to an ICU during one calendar year (2012) in a multipayer healthcare system. We assessed mortality, hospital readmissions (categorized by ambulatory care sensitive conditions and emergency department), and outpatient visits. We compared the proportion of patients with visits during the pre-ICU year versus the post-ICU year. PATIENTS: People admitted to an Intermountain healthcare ICU for greater than 48 hours in the year 2012
interventions: None. MEASUREMENTS AND MAIN
resultsAmong 4,074 ICU survivors, 45% had increased resource utilization. Readmission rates at 30-day, 90-day, and 1-year were 15%, 26%, and 43%. The proportion of patients with a hospital admission increased significantly in the post-ICU period (43% vs 29%; p < 0.001). Of patients with a readmission in the post-ICU period, 24% were ambulatory care sensitive condition. Patients with increased utilization differed by socioeconomic status, insurance type, and severity of illness. Sixteen percent of patients had either an emergency department or inpatient admission, but no outpatient visits during the post-ICU period.
conclusionsAn ICU admission is associated with increased resource utilization including hospital readmissions, with many due to an ambulatory care sensitive condition. Lower socioeconomic status and higher severity of illness are associated with increased resource utilization. After an ICU visit patients seem to use hospital resources over outpatient resources. Interventions to improve and coordinate care after ICU discharge are needed.
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