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 journalArticle

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

Fingerprint

Respiratory Care Units
Chronic Obstructive Pulmonary Disease
Intensive Care Units
Costs and Cost Analysis
Stroke

Keywords

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

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit. / Bertolini, Guido; Confalonieri, Marco; Rossi, Carlotta; Rossi, Giancarlo; Simini, Bruno; Gorini, Massimo; Corrado, Antonio; Pennacchioni, Silvio; Pecunia, Laura; Franco, Gabriele; Visconti, Maria Grazia; Todesco, Livio; Giannoni, Stafano; Mantovani, Giorgio; Melis, Piergiorgio; Negri, Giovanni; Della Grazia, Laura; Salvi, Giovanni; Trivella, Patrizia; Ciceri, Gabriella; Vianello, Andrea; Villella, Giuseppe; Marchese, Santino; LoCoco, Albino; Potena, Alfredo; Piatella, Marco; Mollica, Corrado; Della Porta, Rossana; Parigi, PierCarlo.

In: Respiratory Medicine, Vol. 99, No. 7, 07.2005, p. 894-900.

Research output: Contribution to journalArticle

Bertolini, G, Confalonieri, M, Rossi, C, Rossi, G, Simini, B, Gorini, M, Corrado, A, Pennacchioni, S, Pecunia, L, Franco, G, Visconti, MG, Todesco, L, Giannoni, S, Mantovani, G, Melis, P, Negri, G, Della Grazia, L, Salvi, G, Trivella, P, Ciceri, G, Vianello, A, Villella, G, Marchese, S, LoCoco, A, Potena, A, Piatella, M, Mollica, C, Della Porta, R & Parigi, P 2005, 'Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit', Respiratory Medicine, vol. 99, no. 7, pp. 894-900. https://doi.org/10.1016/j.rmed.2004.11.014
Bertolini, Guido ; Confalonieri, Marco ; Rossi, Carlotta ; Rossi, Giancarlo ; Simini, Bruno ; Gorini, Massimo ; Corrado, Antonio ; Pennacchioni, Silvio ; Pecunia, Laura ; Franco, Gabriele ; Visconti, Maria Grazia ; Todesco, Livio ; Giannoni, Stafano ; Mantovani, Giorgio ; Melis, Piergiorgio ; Negri, Giovanni ; Della Grazia, Laura ; Salvi, Giovanni ; Trivella, Patrizia ; Ciceri, Gabriella ; Vianello, Andrea ; Villella, Giuseppe ; Marchese, Santino ; LoCoco, Albino ; Potena, Alfredo ; Piatella, Marco ; Mollica, Corrado ; Della Porta, Rossana ; Parigi, PierCarlo. / Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit. In: Respiratory Medicine. 2005 ; Vol. 99, No. 7. pp. 894-900.
@article{2977707b47b0423c86db6015dcb82daa,
title = "Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit",
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",
keywords = "Chronic obstructive pulmonary disease, Costs, Intensive care units, Respiratory intermediate care units",
author = "Guido Bertolini and Marco Confalonieri and Carlotta Rossi and Giancarlo Rossi and Bruno Simini and Massimo Gorini and Antonio Corrado and Silvio Pennacchioni and Laura Pecunia and Gabriele Franco and Visconti, {Maria Grazia} and Livio Todesco and Stafano Giannoni and Giorgio Mantovani and Piergiorgio Melis and Giovanni Negri and {Della Grazia}, Laura and Giovanni Salvi and Patrizia Trivella and Gabriella Ciceri and Andrea Vianello and Giuseppe Villella and Santino Marchese and Albino LoCoco and Alfredo Potena and Marco Piatella and Corrado Mollica and {Della Porta}, Rossana and PierCarlo Parigi",
year = "2005",
month = "7",
doi = "10.1016/j.rmed.2004.11.014",
language = "English",
volume = "99",
pages = "894--900",
journal = "Respiratory Medicine",
issn = "0954-6111",
publisher = "W.B. Saunders Ltd",
number = "7",

}

TY - JOUR

T1 - Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit

AU - Bertolini, Guido

AU - Confalonieri, Marco

AU - Rossi, Carlotta

AU - Rossi, Giancarlo

AU - Simini, Bruno

AU - Gorini, Massimo

AU - Corrado, Antonio

AU - Pennacchioni, Silvio

AU - Pecunia, Laura

AU - Franco, Gabriele

AU - Visconti, Maria Grazia

AU - Todesco, Livio

AU - Giannoni, Stafano

AU - Mantovani, Giorgio

AU - Melis, Piergiorgio

AU - Negri, Giovanni

AU - Della Grazia, Laura

AU - Salvi, Giovanni

AU - Trivella, Patrizia

AU - Ciceri, Gabriella

AU - Vianello, Andrea

AU - Villella, Giuseppe

AU - Marchese, Santino

AU - LoCoco, Albino

AU - Potena, Alfredo

AU - Piatella, Marco

AU - Mollica, Corrado

AU - Della Porta, Rossana

AU - Parigi, PierCarlo

PY - 2005/7

Y1 - 2005/7

N2 - 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

AB - 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

KW - Chronic obstructive pulmonary disease

KW - Costs

KW - Intensive care units

KW - Respiratory intermediate care units

UR - http://www.scopus.com/inward/record.url?scp=20444387954&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20444387954&partnerID=8YFLogxK

U2 - 10.1016/j.rmed.2004.11.014

DO - 10.1016/j.rmed.2004.11.014

M3 - Article

C2 - 15939252

AN - SCOPUS:20444387954

VL - 99

SP - 894

EP - 900

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 0954-6111

IS - 7

ER -