ICU 251 General Air Force Hospital, 3 Kanellopoulou Str, Zografou 11525, Athens, Greece; Department of Nursing, National and Kapodistrian University of Athens, Papadiamantopoulou Str, Goudi, 11527, Athens, Greece.
Department of Nursing, National and Kapodistrian University of Athens, Papadiamantopoulou Str, Goudi, 11527, Athens, Greece.
Intensive Crit Care Nurs. 2021 Oct;66:103080. doi: 10.1016/j.iccn.2021.103080. Epub 2021 May 28.
To review the studies, which calculated the total intensive care unit costs and indicated the main cost drivers in the intensive care by using either top-down, bottom-up approach or the combination of them.
RESEARCH METHODOLOGY/DESIGNS: A systematic review of papers published until October 2020 was conducted. Search was performed on PubMed, Medline, Scopus and Science Direct databases.
This review i examined costs in adult intensive care units, in countries belonging to the Organisation for Economic Co-operation and Development (OECD) (medical, surgical or general adult , paediatric and neonatal were not included).
Eighteen articles were included in the review.
Eight of the studies used the top-down costing methodology, six of them used the bottom-up approach and four of them used both of them. The mean total patient cost per day ranged from €200.75 to €4321.91 (all costs are presented in 2020 values for euro). Human resources were identified as the largest proportion of total costs. Length of stay, mechanical ventilation, continuous haemodialysis and severe illness are the main cost drivers of intensive care unit total costs.
There are a variety of methods and study designs used to calculate costs of an intensive care unit stay.t It is necessary to evolve standardised costing methods in order to make comparisons and succeed in cost-effective management.
综述使用自上而下、自下而上或两者结合的方法计算重症监护病房总费用并指出重症监护主要成本驱动因素的研究。
研究方法/设计：对截至 2020 年 10 月发表的论文进行了系统回顾。在 PubMed、Medline、Scopus 和 Science Direct 数据库中进行了搜索。
本综述检查了经济合作与发展组织（OECD）国家成人重症监护病房的成本（不包括内科、外科或普通成人、儿科和新生儿）。
综述共纳入 18 篇文章。
8 项研究使用了自上而下的成本核算方法，其中 6 项研究使用了自下而上的方法，4 项研究同时使用了这两种方法。每位患者每天的平均总费用从 200.75 欧元到 4321.91 欧元不等（所有费用均以欧元 2020 年的价值呈现）。人力资源被确定为总费用的最大比例。住院时间、机械通气、持续血液透析和严重疾病是重症监护病房总费用的主要成本驱动因素。
有多种方法和研究设计用于计算重症监护病房住院费用。需要制定标准化的成本核算方法，以便进行比较并实现成本效益管理。
