Published studies suggest hospital costs on day one in the intensive care unit (ICU) far exceed those of subsequent days when costs are relatively stable. Yet, no study stratified patients by ICU type.
To determine whether daily cost patterns differ by ICU type.
We performed a retrospective study of adults admitted to 5 ICUs (2 surgical-SICUquat & CSICUquat, 2 medical-MICUtertiary & MICUquat, 1 general-MSICUcomm) at Montefiore Medical Center in the Bronx, New York during 2013. After excluding costs clearly accrued outside the ICU, daily hospital costs were merged with clinical data. Patterns of daily unadjusted costs were evaluated in each ICU using median regression. Generalized estimating equations with first order autocorrelation were used to identify factors independently associated with daily costs.
Unadjusted daily costs were higher on day 1 than on subsequent days only for surgical ICUs-SICUquat (median (interquartile range, IQR): $2636 ($1834,$4282) on day 1 vs. $1840 ($1501,$2332) on day 2, P<0.001) and CSICUquat ($5166 ($3136,$9493) on day 1 vs. $2060 ($1336,$2528) on day 2, P <0.001). In non-surgical ICUs, there was no change (MICUtertiary P =0.12) or a small increase (MSICUcomm P =0.03; MICUquat P =0.01) in cost from days 1 to 2. After multivariate adjustment, there remained a significant decrease in cost from ICU day 1 to 2 in surgical units with statistically similar day 1 and 2 costs for other ICUs.
Higher day one costs are not seen in patients admitted to medical/non-surgical ICUs.
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 January 2016.
All research outputs
#15,875,798
of 26,876,847 outputs
Outputs from Annals of the American Thoracic Society
#2,425
of 3,712 outputs
Outputs of similar age
#203,276
of 399,453 outputs
Outputs of similar age from Annals of the American Thoracic Society
#35
of 59 outputs
Altmetric has tracked 26,876,847 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,712 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 16.9. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 399,453 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.
