miércoles, 11 de febrero de 2015

Utilization of Intensive Care Services, 2011 #185

Utilization of Intensive Care Services, 2011 #185

AHRQ Electronic Newsletter - Agency for Healthcare Research and Quality

AHRQ Stats: ICU Hospital Care

While 27 percent of hospital stays involved intensive care unit (ICU) services in 2011 (among the 29 states reporting), those stays accounted for nearly 48 percent of total hospital charges that year. The average ICU-related hospital stay averaged $61,800 while a non-ICU stay was $25,200. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #185, Utilization of Intensive Care Services, 2011.) 
Utilization of Intensive Care Services, 2011


Marguerite L. Barrett, M.S., Mark W. Smith, Ph.D., Anne Elixhauser, Ph.D., Leah S. Honigman, M.D., M.P.H., and Jesse M. Pines, M.D.
Highlights
  • In 2011, 26.9 percent of hospital stays in 29 States involved intensive care unit (ICU) charges, accounting for 47.5 percent of aggregate total hospital charges.


  • Common conditions and procedures with high ICU utilization varied across body systems. The highest rate of ICU use (93.3 percent) was for respiratory disease with ventilator support.


  • Cardiac conditions accounted for 8 of the 18 conditions and procedures with high ICU utilization. ICU utilization for cardiac conditions ranged from 40.6 percent for stays for chest pain to 70.3 percent for stays for acute myocardial infarction with major complications or comorbidities.


  • Hospital stays that involved ICU services were 2.5 times more costly than other hospital stays.


  • ICU services were on average three times more likely when patients experienced major complications or comorbidities.


  • Greater utilization of ICUs tended to occur in hospitals that were large, private/for profit, located in metropolitan areas, trained medical students, and had a high-level trauma center.

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