Impact of Critical Illness on Resource Utilization: A Comparison of Use in the Year Before and After ICU Admission*

Q: What is the clinical evidence from this study?

Study design: Cohort. Population: Critical illness (ICU survivors) (n=4074). Intervention: Post-ICU period vs. Pre-ICU period. Primary outcome: Proportion of patients with a hospital admission (p=<0.001).

Q: What does this research mean for the field?

An ICU admission is associated with a significant increase in hospital admissions in the post-ICU year compared to the pre-ICU year (43% vs 29%), with many readmissions driven by ambulatory care sensitive conditions. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Eliotte L. Hirshberg; Emily L. Wilson; Valoree Stanfield; Kathryn G. Kuttler; Sarah Majercik; Sarah J. Beesley; James F. Orme; Ramona O. Hopkins; Samuel M. Brown

doi:10.1097/ccm.0000000000003970

September 13, 2019Critical Care MedicineOpen Access

Impact of Critical Illness on Resource Utilization: A Comparison of Use in the Year Before and After ICU Admission*

View Full Paper

Ask AI

Bookmark

Share

Figures

Why the study?

The full impact of an ICU admission on an individual's resource utilization and survivorship trajectory in the United States remains unclear.

Does ICU admission increase healthcare resource utilization in the year following discharge compared to the year prior?

Study Design

Type

Cohort (n=4,074)

Multicenter

Yes

Structured PICO

Does ICU admission increase healthcare resource utilization in the year following discharge compared to the year prior?

P

Population

4,074 ICU survivors admitted to an Intermountain healthcare ICU for greater than 48 hours in the year 2012

C

Comparator

Pre-ICU year (the year before ICU admission)

O

Outcome

Healthcare utilization (mortality, hospital readmissions, and outpatient visits)hard clinical

Main Result

Absolute Event Rate: 43% vs 29%

p-value: p=<0.001

Limitations

Retrospective investigation
Did not compare resource utilization with a matched non-ICU control group
Unable to identify patients who resided in a long-term healthcare facility prior to the index ICU admission
Utilization data are likely an underestimation of true healthcare resource utilization
Population is 92% Caucasian which may limit generalizability
Competing risk of mortality may be a source of bias

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

ICU admission is associated with significantly increased healthcare resource utilization, particularly hospital readmissions, in the year following discharge compared to the year prior.

Abstract

No abstract yet. The journal hasn't published one we can show.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Hirshberg et al. (2019) conducted a cohort in Critical illness (ICU survivors) (n=4,074). Post-ICU period vs. Pre-ICU period was evaluated on Proportion of patients with a hospital admission (p=<0.001).

synapsesocial.com/papers/6a12f9ed06ed52b5c2c0dbe9 https://doi.org/10.1097/ccm.0000000000003970

View Full Paper

Ask AI

Bookmark

Share

Impact of Critical Illness on Resource Utilization: A Comparison of Use in the Year Before and After ICU Admission*

Figures

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Impact of Critical Illness on Resource Utilization: A Comparison of Use in the Year Before and After ICU Admission*

Figures

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading