Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit

Guido Bertolini, Marco Confalonieri, Carlotta Rossi, Giancarlo Rossi, Bruno Simini, Massimo Gorini, Antonio Corrado, Silvio Pennacchioni, Laura Pecunia, Gabriele Franco, Maria Grazia Visconti, Livio Todesco, Stafano Giannoni, Giorgio Mantovani, Piergiorgio Melis, Giovanni Negri, Laura Della Grazia, Giovanni Salvi, Patrizia Trivella, Gabriella CiceriAndrea Vianello, Giuseppe Villella, Santino Marchese, Albino LoCoco, Alfredo Potena, Marco Piatella, Corrado Mollica, Rossana Della Porta, PierCarlo Parigi

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: To assess whether respiratory intermediate care units (RICUs) are cost effective alternatives to intensive care units (ICUs) for patients with exacerbation of chronic obstructive pulmonary disease (COPD). Patients and methods: Multi-centre, prospective, bottom-up cost study performed in 15 ICUs and 6 RICUs. COPD patients staying longer than 48 h were recruited; those coming from other ICUs/RICUs, with immune-deficiency or stroke, were excluded. After the ICU sample was standardised to the RICU distribution of the reason-for-admission and infusion of a vasoactive drug on admission, 60 ICU patients and 65 RICU patients remained, of the original 164 recruited. For each patient, besides clinical data on admission and discharge, daily information about the resources consumed were recorded and analysed in terms of their costs. Results: Total cost per patient was lower in RICUs than in ICUs (754 vs. 1507 Euro; P

Original languageEnglish
Pages (from-to)894-900
Number of pages7
JournalRespiratory Medicine
Volume99
Issue number7
DOIs
Publication statusPublished - Jul 2005

Keywords

  • Chronic obstructive pulmonary disease
  • Costs
  • Intensive care units
  • Respiratory intermediate care units

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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