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Hospital costs of out-of-hospital cardiac arrest patients treated in intensive care; a single centre evaluation using the national tariff-based system.

Petrie J, Easton S, Naik V, Lockie C, Brett SJ, Stümpfle R - BMJ Open (2015)

Bottom Line: This is essential for assessment of cost-effectiveness of interventions necessary to allow just allocation of resources within the National Health Service.Secondarily, we estimated cost effectiveness based on estimates of survival and utility from previous studies to calculate costs per quality adjusted life year (QALY).Cost and length of stay of CPC 1-2 patients was considerably lower than CPC 3-4 patients.

View Article: PubMed Central - PubMed

Affiliation: Centre for Perioperative Medicine and Critical Care Research, London, UK.

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Related in: MedlinePlus

Presentation of OOHCA patients to our regional centre. Flow of patients presenting with OOHCA to our hospital. A total of 157 patients were brought by ambulance to our institution. Fifty-six of these were admitted to intensive care unit (ICU) and 101 were not admitted to ICU. A further 13 patients were admitted to our ICU following OOHCA presenting to another hospital (total 69 patients). Of the ICU patients 33 survived to hospital discharge, 28 died (21 on ICU, 7 on the ward subsequently). Of the 101 OOHCA not admitted to ICU at our institution 37 were discharged from hospital alive, 64 died. Of these 44 died in A&E, 6 died in the theatre/recovery area (prior to transfer to definitive ICU bed), 4 died in the catheter laboratory and 10 died on the wards.
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BMJOPEN2014005797F2: Presentation of OOHCA patients to our regional centre. Flow of patients presenting with OOHCA to our hospital. A total of 157 patients were brought by ambulance to our institution. Fifty-six of these were admitted to intensive care unit (ICU) and 101 were not admitted to ICU. A further 13 patients were admitted to our ICU following OOHCA presenting to another hospital (total 69 patients). Of the ICU patients 33 survived to hospital discharge, 28 died (21 on ICU, 7 on the ward subsequently). Of the 101 OOHCA not admitted to ICU at our institution 37 were discharged from hospital alive, 64 died. Of these 44 died in A&E, 6 died in the theatre/recovery area (prior to transfer to definitive ICU bed), 4 died in the catheter laboratory and 10 died on the wards.

Mentions: The flow of OOHCA patients through our hospital in the 18-month period from 1 January 2011 is shown in figure 2. One hundred and fifty-seven patients presented directly to our hospital following OOHCA. Of these patients, 56 required ICU admission. One hundred and one patients were not admitted to ICU; of these, 37 survived to hospital discharge, having required ward care only and 64 either died soon after admission to hospital or were deemed to have such a poor prognosis that critical care was not indicated. None of these 101 patients were included in this study.


Hospital costs of out-of-hospital cardiac arrest patients treated in intensive care; a single centre evaluation using the national tariff-based system.

Petrie J, Easton S, Naik V, Lockie C, Brett SJ, Stümpfle R - BMJ Open (2015)

Presentation of OOHCA patients to our regional centre. Flow of patients presenting with OOHCA to our hospital. A total of 157 patients were brought by ambulance to our institution. Fifty-six of these were admitted to intensive care unit (ICU) and 101 were not admitted to ICU. A further 13 patients were admitted to our ICU following OOHCA presenting to another hospital (total 69 patients). Of the ICU patients 33 survived to hospital discharge, 28 died (21 on ICU, 7 on the ward subsequently). Of the 101 OOHCA not admitted to ICU at our institution 37 were discharged from hospital alive, 64 died. Of these 44 died in A&E, 6 died in the theatre/recovery area (prior to transfer to definitive ICU bed), 4 died in the catheter laboratory and 10 died on the wards.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390724&req=5

BMJOPEN2014005797F2: Presentation of OOHCA patients to our regional centre. Flow of patients presenting with OOHCA to our hospital. A total of 157 patients were brought by ambulance to our institution. Fifty-six of these were admitted to intensive care unit (ICU) and 101 were not admitted to ICU. A further 13 patients were admitted to our ICU following OOHCA presenting to another hospital (total 69 patients). Of the ICU patients 33 survived to hospital discharge, 28 died (21 on ICU, 7 on the ward subsequently). Of the 101 OOHCA not admitted to ICU at our institution 37 were discharged from hospital alive, 64 died. Of these 44 died in A&E, 6 died in the theatre/recovery area (prior to transfer to definitive ICU bed), 4 died in the catheter laboratory and 10 died on the wards.
Mentions: The flow of OOHCA patients through our hospital in the 18-month period from 1 January 2011 is shown in figure 2. One hundred and fifty-seven patients presented directly to our hospital following OOHCA. Of these patients, 56 required ICU admission. One hundred and one patients were not admitted to ICU; of these, 37 survived to hospital discharge, having required ward care only and 64 either died soon after admission to hospital or were deemed to have such a poor prognosis that critical care was not indicated. None of these 101 patients were included in this study.

Bottom Line: This is essential for assessment of cost-effectiveness of interventions necessary to allow just allocation of resources within the National Health Service.Secondarily, we estimated cost effectiveness based on estimates of survival and utility from previous studies to calculate costs per quality adjusted life year (QALY).Cost and length of stay of CPC 1-2 patients was considerably lower than CPC 3-4 patients.

View Article: PubMed Central - PubMed

Affiliation: Centre for Perioperative Medicine and Critical Care Research, London, UK.

Show MeSH
Related in: MedlinePlus