Girotti M J, Brown S J
Can Anaesth Soc J. 1986 Nov;33(6):765-72. doi: 10.1007/BF03027128.
A prospective analysis of the cost of intensive care was carried out on 67 admissions to a multidisciplinary ICU. Admissions were grouped and investigated according to various criteria such as admitting diagnosis, admission status (elective vs emergency), severity of illness and outcome. Total ICU admission costs, total per diem ICU costs and per diem costs divided into fixed and variable cost items for the patient groups are reported. Lower total and per diem ICU charges were observed for elective surgical patients, patients with lower severity of illness as assessed by the Therapeutic Intervention Scoring system and survivors. Emergency admissions were more expensive than elective admissions when compared for total ICU admission costs. Length of stay was a significant factor in overall ICU costs. Within the variable cost items, the diagnostic laboratory was the single most costly item per day. As a result of this analysis, the authors propose several suggestions for reducing ICU costs independent of case-mix or diagnosis-related groupings of ICU patients.
对一家多学科重症监护病房（ICU）的67例入院患者进行了重症监护费用的前瞻性分析。根据多种标准对入院患者进行分组和调查，如入院诊断、入院状态（择期与急诊）、疾病严重程度和预后。报告了患者组的ICU总入院费用、每日ICU总费用以及分为固定和可变成本项目的每日费用。择期手术患者、经治疗干预评分系统评估疾病严重程度较低的患者以及幸存者的ICU总费用和每日费用较低。就ICU总入院费用而言，急诊入院比择期入院更昂贵。住院时间是ICU总体费用的一个重要因素。在可变成本项目中，诊断实验室是每日最昂贵的单项。基于此分析，作者提出了一些降低ICU成本的建议，这些建议与ICU患者的病例组合或诊断相关分组无关。
