Cost of intensive care in a Norwegian University hospital 1997-1999.
Cost of intensive care in a Norwegian University hospital 1997-1999.
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DOI：
10.1186/cc1865
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发表时间：
2003-02
期刊：
影响因子：
15.1
通讯作者：
Kvåle, R
中科院分区：
文献类型：
--
作者：
Flaatten, H;Kvåle, R
进行本研究是为了记录挪威一所大学医院的重症护理费用，并利用18个月后幸存者的预期剩余寿命进行平均成本效益研究。利用挪威人民登记处的数据，对1997年至1999年在豪克兰大学医院普通重症监护病房(ICU)住院的患者进行了跟踪调查，直至ICU后18个月。从那时起，我们的ICU患者的死亡率进一步相当于挪威的平均人口。通过在ICU治疗18个月后创建与幸存者相同的年龄匹配和性别匹配的挪威普通人群样本，我们可以找到每个ICU幸存者的预期生存时间。研究期间的直接和间接ICU费用是使用自上而下的方法检索的。结果评估是使用期间ICU总费用除以18个月后幸存者的预期寿命之和进行的。重症监护病房的总费用(折算为2001年的价值)为16 697 415欧元，不包括放射科费用和手术室的使用费用，这两项费用都无法收回。共有1051名患者接受治疗，其中60.9%的患者存活至18个月。进一步的总预期寿命是24,428岁。每个患者在ICU一天的平均成本为2601欧元，每个患者的平均住院成本为14223欧元，每个患者每年的平均生存成本为684欧元。研究发现，绝对成本高于欧洲ICU最近关于ICU治疗成本的研究报告。然而，幸存者再活一年的价格较低，与其他医疗治疗相当。
The present study was performed in order to document costs of intensive care in a Norwegian university hospital and to perform an average cost-effectiveness study using the expected remaining life-years in survivors after 18 months. Patients admitted to the general intensive care unit (ICU) at Haukeland University Hospital from 1997 to 1999 were followed up to 18 months post ICU using data from the Norwegian Peoples' registry. Our ICU patients have a further mortality equal to the average population in Norway from that time. By creating an age-matched and sex-matched sample of the general Norwegian population equal to survivors 18 months after ICU treatment, we could find the expected further survival time for each ICU survivor. Direct and indirect ICU expenses in the study period were retrieved using a 'top-down' method. Outcome assessment was performed using the total ICU expenses in the period divided by the sum of the life expectancy (years) in survivors after 18 months. The total ICU costs (converted to 2001 values) were € 16,697,415, excluding the costs of radiology and the use of operating theatres, which were both impossible to retrieve. A total of 1051 patients were treated, of whom 60.9% survived up to 18 months. Further total life expectancies were 24,428 years. The average costs of an ICU day and stay per patient were € 2601 and € 14,223, respectively, and the average cost per year of survival per patient was € 684. The absolute costs were found to be higher than recent European ICU studies reporting on the cost of ICU treatment. However, the price of a further life-year in survivors was lower and was comparable with other medical treatment.
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影响因子：
10.7
作者：
Edbrooke, D;Hibbert, C;Dickie, H
通讯作者：
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Kvåle, R
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作者：
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通讯作者：
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