Back to Search
Start Over
Impact of mechanical ventilation on the daily costs of ICU care: a systematic review and meta regression.
- Source :
-
Epidemiology and infection [Epidemiol Infect] 2019 Dec 05; Vol. 147, pp. e314. Date of Electronic Publication: 2019 Dec 05. - Publication Year :
- 2019
-
Abstract
- The impact of mechanical ventilation on the daily costs of intensive care unit (ICU) care is largely unknown. We thus conducted a systematic search for studies measuring the daily costs of ICU stays for general populations of adults (age ≥18 years) and the added costs of mechanical ventilation. The relative increase in the daily costs was estimated using random effects meta regression. The results of the analyses were applied to a recent study calculating the excess length-of-stay associated with ICU-acquired (ventilator-associated) pneumonia, a major complication of mechanical ventilation. The search identified five eligible studies including a total of 54 766 patients and ~238 037 patient days in the ICU. Overall, mechanical ventilation was associated with a 25.8% (95% CI 4.7%-51.2%) increase in the daily costs of ICU care. A combination of these estimates with standardised unit costs results in approximate daily costs of a single ventilated ICU day of €1654 and €1580 in France and Germany, respectively. Mechanical ventilation is a major driver of ICU costs and should be taken into account when measuring the financial burden of adverse events in ICU settings.
Details
- Language :
- English
- ISSN :
- 1469-4409
- Volume :
- 147
- Database :
- MEDLINE
- Journal :
- Epidemiology and infection
- Publication Type :
- Academic Journal
- Accession number :
- 31802726
- Full Text :
- https://doi.org/10.1017/S0950268819001900