1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month November 2017 List Notes 1530-0293 Kramer, Andrew A Dasta, Joseph F Kane-Gill, Sandra L Journal Article Multicenter Study United States Crit Care Med. 2017 Sep;45(9):1457-1463. doi: 10.1097/CCM.0000000000002563. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Impact of Mortality on Total Costs Within the ICU Publisher An entity responsible for making the resource available Critical Care Medicine Date A point or period of time associated with an event in the lifecycle of the resource 2017 Subject The topic of the resource Hospital Mortality; Adolescent; Adult; Aged; Aged 80 And Over; Age Factors; Bed Occupancy/economics; Female; Hospital Costs/ Statistics & Numerical Data; Humans; Intensive Care Units/ Economics; Length Of Stay/economics; Male; Middle Aged; Patient Discharge/economics; Respiration Artificial/economics; Retrospective Studies; Severity Of Illness Index; Sex Factors; United States; Young Adult Creator An entity primarily responsible for making the resource Kramer AA; Dasta JF; Kane-Gill SL Description An account of the resource OBJECTIVES: The high cost of critical care has engendered research into identifying influential factors. However, existing studies have not considered patient vital status at ICU discharge. This study sought to determine the effect of mortality upon the total cost of an ICU stay. DESIGN: Retrospective cohort study. SETTING: Twenty-six ICUs at 13 hospitals in the United States. PATIENTS: 58,344 admissions from January 1, 2012, to June 30, 2016, obtained from a commercial ICU database. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The median observed cost of a unit stay was $9,619 (mean = $16,353). A multivariable regression model was developed on the log of total costs for a unit stay, using severity of illness, unit admitting diagnosis, mortality in the unit, daily unit occupancy (occupying a bed at midnight), and length of mechanical ventilation. This model had an r of 0.67 and a median difference between observed and expected costs of $437. The first few days of care and the first day receiving mechanical ventilation had the largest effect on total costs. Patients dying before unit discharge had 12.4% greater costs than survivors (p < 0.01; 99% CI = 9.3-15.5%) after multivariable adjustment. This effect was most pronounced for patients with an extended ICU stay who were receiving mechanical ventilation. CONCLUSIONS: While the largest drivers of ICU costs at the patient level are day 1 room occupancy and day 1 mechanical ventilation, mortality before unit discharge is associated with substantially higher costs. The increase was most evident for patients with an extended ICU stay who were receiving mechanical ventilation. Studies evaluating costs among ICUs need to take mortality into account. Identifier An unambiguous reference to the resource within a given context 10.1097/ccm.0000000000002563 Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). 2017 Adolescent Adult Age Factors Aged Aged 80 And Over Bed Occupancy/economics Critical Care Medicine Dasta JF Female Hospital Costs/ Statistics & Numerical Data Hospital Mortality Humans Intensive Care Units/ Economics Kane-Gill SL Kramer AA Length Of Stay/economics Male Middle Aged November 2017 List Patient Discharge/economics Respiration Artificial/economics Retrospective Studies Severity Of Illness Index Sex Factors United States Young Adult