A prospective audit of costs of intensive care in cancer patients in India

Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Atul P Kulkarni, Jigeeshu V Divatia

Abstract

The costs of healthcare are increasing. Intensive care poses largest burden on the hospital budget, even in developed countries. We attempted to find out the costs of intensive care in an Indian cancer hospital. Cost data was prospectively collected for patient-related and non-patient-related activities in a mixed surgical, medical cancer ICU. Demographic data, source, reason, and length of ICU stay were recorded. Total per day costs, costs for patients admitted from wards and operating rooms, and effective cost per survivor (ECPS) were calculated. Data was collected for 101 consecutive ICU patients. Fifty-five patients were admitted after surgery (total patient hours 3485 i.e., 145.21 patient days). The mean (SD) intensive care unit length of stay (ICU LOS) was 64.84 (58.47) hrs. (8.25 to 552). Fifty-three patients survived to discharge. Forty-six patients were admitted from wards (hematooncology) or casualty and stayed 3980.25 patient hrs (165.84 patient days). The mean (SD, range) ICU LOS was 106.84 (64.05, 1-336) hrs. Of these, 26 patients survived to discharge. The effective cost per survivor (ECPS) was significantly higher for patients admitted from wards. [Rs. 83,558 = 00 (USD 1856.84) vs. Rs. 15,049 = 00 (USD 334.42)]. ...Continue Reading

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Citations

Jun 28, 2016·CA: a Cancer Journal for Clinicians·Alexander Shimabukuro-VornhagenMichael S von Bergwelt-Baildon
Sep 10, 2016·International Journal of Technology Assessment in Health Care·John Victor PeterThambu David Sudarsanam
Oct 2, 2019·Current Opinion in Critical Care·Marcelo A F RibeiroStephanie Santin
Dec 20, 2017·Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research·Immanuel JosephKannan Ranganathan
Mar 30, 2017·Intensive Care Medicine·Marcus J SchultzUNKNOWN Global Intensive Care Working Group of the European Society of Intensive Care Medicine

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Methods Mentioned

BETA
coronary artery bypass

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