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Association Between Intensive Care Unit Utilization During Hospitalization and Costs, Use of Invasive Procedures, and Mortality

Association Between Intensive Care Unit Utilization During Hospitalization and Costs, Use of... Key PointsQuestionDo hospitals have similar patterns of intensive care unit (ICU) utilization across 4 common medical conditions, and is increased ICU utilization associated with better clinical outcomes? FindingsIn this retrospective cohort study, 94 hospitals were ranked by their predicted ICU utilization rates for diabetic ketoacidosis, pulmonary embolism, upper gastrointestinal bleeding, and congestive heart failure, and consistent patterns were found across all 4 conditions. Hospitals that used ICUs more frequently were more likely to perform invasive procedures and have higher costs but have no improvement in mortality. MeaningOptimizing the value of ICU care will require assessments of systematic institutional factors that may lead clinicians to overutilize ICU care. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Association Between Intensive Care Unit Utilization During Hospitalization and Costs, Use of Invasive Procedures, and Mortality

JAMA Internal Medicine , Volume 176 (10) – Oct 8, 2016

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Publisher
American Medical Association
Copyright
Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2016.4298
pmid
27532500
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionDo hospitals have similar patterns of intensive care unit (ICU) utilization across 4 common medical conditions, and is increased ICU utilization associated with better clinical outcomes? FindingsIn this retrospective cohort study, 94 hospitals were ranked by their predicted ICU utilization rates for diabetic ketoacidosis, pulmonary embolism, upper gastrointestinal bleeding, and congestive heart failure, and consistent patterns were found across all 4 conditions. Hospitals that used ICUs more frequently were more likely to perform invasive procedures and have higher costs but have no improvement in mortality. MeaningOptimizing the value of ICU care will require assessments of systematic institutional factors that may lead clinicians to overutilize ICU care.

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Oct 8, 2016

References