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Multicenter Study
. 1996 Sep;62(9):289-96.

[Daily survey of procedures as markers of resources utilization]

[Article in Italian]
G Iapichino  1 , A Attanasio, L Avalli, E Bassi, C Biffi, E Calappi, M L Casiraghi, P Ferrario, A Guarino, M Langer, B Marcora, M Panozzo, G Reschini, S Rotelli, A Sicignano, A Trivellato, S Vesconi, D R Miranda
Affiliations
  • PMID: 9072711
Multicenter Study

[Daily survey of procedures as markers of resources utilization]

[Article in Italian]
G Iapichino et al. Minerva Anestesiol. 1996 Sep.

Abstract

Objective: To assess and to follow along the time-span of ICU stay the process of resources allocation and utilization.

Design: Prospective study.

Patients: A cohort of 778 patients consecutively admitted to 7 multipurpose general ICU in the Milano area were enrolled in a survey of the daily performed interventions/procedures.

Measurements and main results: The majority of diagnostic procedure/interventions were performed during the first two days. The number and quality of interventions were transferred into points obtaining a score system in non-monetary units. The resource allocation process shows a regular trend in the sub-intensive patients who were only monitorized. On the contrary the 258 patients who were intensively treated and survived show a phase of high resource-consumption (about 30 daily points: roughly twice the score of monitorized patients) then followed by a post-intensive phase with a resource consumption resulting in a daily score absolutely equal to the sub-intensive patients. The intensive patients who die show a significantly higher score than survived patients. Both daily and cumulative scores do not show differences among different type of patients.

Conclusion: The evaluation of the process of resources allocation, even if in non-monetary units enables the knowledge of the trend of ICU costs and allows the elaboration of the appropriate budget mechanism.

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