High ICU Usage Increases Invasive Procedures, Costs
Researchers at LA BioMed and UCLA examined ICU usage and found that patients admitted in ICUs underwrent more costly and invasive procedures but did not have better mortality rates as compared to patients who were hospitalised with the same medical conditions but were not admitted to the ICU. The study is published in JAMA Internal Medicine.
During the study, the researchers examined records from 156,842 hospitalisations at 94 acute care hospitals. They specifically looked at four medical conditions where ICU care is typically provided but may not be necessary. These include diabetic ketoacidosis, pulmonary embolism, upper gastrointestinal hemorrhage and congestive heart failure.
Results showed that hospitals that utilised ICUs more frequently were more likely to perform invasive procedures and incur high costs. However, they did not show any improvement in mortality among these ICU patients as compared to those who were hospitalised for these same conditions.
"The study findings suggest that optimising the value of ICU care will require assessments of systematic institutional factors that may lead clinicians to over-utilise ICU care," said Dong W. Chang, MD, an LA BioMed researcher and corresponding author of the study. "In addition, overuse of ICUs among patients who can likely be treated in non-ICU settings may lead to inappropriately aggressive care and misallocation of resources away from patients who may truly need critical care services."
See Also: ESA2016: Who Benefits from Intensive Care?
The findings also showed that smaller hospitals and teaching hospitals had higher ICU usage rates for patients with these four conditions as compared to larger hospitals.
The study thus suggests that inapprorpirate use of ICUs may be harmful for both patients and for the healthcare system overall. However, more information may be needed to understand why some hospitals are driven to use ICUs more readily. There is also a need to examine hospital policies and institutional protocols that lead to the overutilisation of ICUs so that measures could be taken to reduce the number of invasive procedures and lower costs while providing optimum care.
Source: JAMA Internal Medicine
Image Credit: JAMA
Published on : Tue, 9 Aug 2016
Print as PDF
Features Mindray BeneVision Central Monitoring System is a powerful and scalable solution providing for continuous, real-time surveillance across networks large and small. The system can display patient information from networked monitors, wireless...
Features The SynoVent E3 does not only include advanced ventilator functionality but also a modern, easy to use interface. The display can be configured to suit each clinician’s taste and needs, and gives quick and easy control over ventilator...
The HAMILTON-C3 ventilator is a modular high-end ventilation solution for all patient groups. Offering a number of unique features, the HAMILTON-C3 is one of the first ventilators featuring the “Ventilation Autopilot” INTELLiVENT-ASV®. The HAMILTON-C3’s...
Always in sight, always in mind Features Mindray believes the best way to predict the future is to create it. The revolutionary BeneVision N22/N19 is designed to optimize user experience by satisfying all your clinical demands. With visionary-stimulating...
The HAMILTON-C6 represents a new Generation of high-end ventilators. The combination of modularity, ease of use, mobility, and advanced features allows you to individualize your patient's ventilation therapy: - State-of-the-art ventilation modes for...