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 Ciceri; Andrea Vianello; Giuseppe Villella; Santino Marchese; Albino LoCoco; Alfredo Potena; Marco Piatella; Corrado Mollica; Rossana Della Porta; PierCarlo Parigi

doi:10.1016/j.rmed.2004.11.014

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

Istituto di Ricerche Farmacologiche "Mario Negri"

Research output: Contribution to journal › Article › peer-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 language	English
Pages (from-to)	894-900
Number of pages	7
Journal	Respiratory Medicine
Volume	99
Issue number	7
DOIs	https://doi.org/10.1016/j.rmed.2004.11.014
Publication status	Published - 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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10.1016/j.rmed.2004.11.014

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Bertolini, G., Confalonieri, M., Rossi, C., Rossi, G., Simini, B., Gorini, M., Corrado, A., Pennacchioni, S., Pecunia, L., Franco, G., Visconti, M. G., Todesco, L., Giannoni, S., Mantovani, G., Melis, P., Negri, G., Della Grazia, L., Salvi, G., Trivella, P., ... Parigi, P. (2005). Costs of the COPD. Differences between intensive care unit and respiratory intermediate care unit. Respiratory Medicine, 99(7), 894-900. https://doi.org/10.1016/j.rmed.2004.11.014

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 journal › Article › peer-review

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.

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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

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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

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