tailieunhanh - Báo cáo y học: " Implications of ICU triage decisions on patient mortality: a cost-effectiveness analysis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Implications of ICU triage decisions on patient mortality: a cost-effectiveness analysis. | Edbrooke et al. Critical Care 2011 15 R56 http content 15 1 R56 KS CRITICAL CARE RESEARCH Open Access Implications of ICU triage decisions on patient mortality a cost-effectiveness analysis 23 24 5 5 5 David L Edbrooke 1 2 1 Cosetta Minelli 11 Gary H Mills1 1 Gaetano lapichino 1 Angelo Pezzi 1 Davide Corbella 1 Philin l T Kc6 Anno I innert7 harnon A iic7 Anfnnin Doconi 8 Minnln p i mni f i8 Domain PirrTmnHin9 rhihicir Daưon9 Philip Jacobs 1 Anne LippeiL 1 Joeigen vviis 1 Antonio resenn 1 Nicolo Panonin 1 Romain Piiiacchio 1 Didiei Payen 1 Gabriel Gurman101 Jan Bakker111 Jozef Kesecioglu121 Chiis Hargreaves131 Simon L Cohen141 Mario Baras151 Antonio Artigas161 Charles L Sprung17 Abstract Introduction Intensive care is generally regarded as expensive1 and as a result beds are limited. This has raised serious questions about rationing when there are insufficient beds for all those referred. However the evidence for the cost effectiveness of intensive care is weak and the work that does exist usually assumes that those who are not admitted do not survive1 which is not always the case. Randomised studies of the effectiveness of intensive care are difficult to justify on ethical grounds therefore1 this observational study examined the cost effectiveness of ICU admission by comparing patients who were accepted into ICU after ICU triage to those who were not accepted1 while attempting to adjust such comparison for confounding factors. Methods This multi-centre observational cohort study involved 11 hospitals in 7 EU countries and was designed to assess the cost effectiveness of admission to intensive care after ICU triage. A total of 71659 consecutive patients referred to the intensive care unit ICU were divided into those accepted for admission and those not accepted. The two groups were compared in terms of cost and mortality using multilevel regression models to account for differences across centres1 and after adjusting for age1 Karnofsky score and .