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Related Experiment Videos

Intensive care: cost and benefit.

O Løes, N Smith-Erichsen, B Lind

    Acta Anaesthesiologica Scandinavica. Supplementum
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    This intensive care unit (ICU) study reviewed 961 patients, finding that 81.4% improved with care. Mechanical ventilation represented 95% of the ICU workload, highlighting its resource-intensive nature.

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    Area of Science:

    • Critical Care Medicine
    • Hospital Administration
    • Patient Outcomes

    Background:

    • Intensive care units (ICUs) are critical for managing severe illness.
    • Understanding patient demographics and resource utilization is key to optimizing ICU care.
    • This study reviews patient data from Akershus Central Hospital's general ICU between 1978-1981.

    Purpose of the Study:

    • To analyze patient characteristics, reasons for admission, and resource consumption in a general ICU.
    • To evaluate the effectiveness of intensive care interventions and patient outcomes.
    • To establish a cost-calculation model based on patient care intensity.

    Main Methods:

    • Retrospective review of 961 ICU patients (1978-1981) and a follow-up of 419 patients.
    • Development of a 'care product' metric to quantify patient care needs and ICU workload.

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  • Calculation of ICU costs based on budget, total care product, and individual patient care products.

    • Main Results:

    • Surgical patients constituted 67.3% of ICU admissions, with cardiovascular/respiratory disorders being primary reasons for 78% of admissions.
    • Mechanical ventilation accounted for 95% of the ICU workload.
    • Overall improvement was observed in 81.4% of patients, with a 13.4% mortality rate within the ICU.

    Conclusions:

    • Intensive care significantly improved outcomes for the majority of patients.
    • Mechanical ventilation is a major driver of ICU resource utilization and workload.
    • The developed cost-calculation method provides a basis for understanding ICU resource allocation.