Diagnosis-related groups, costs, and outcome for patients in the intensive care unit.

摘要: Our purpose was to analyze hospital cost, resource utilization, and outcome by age for a large group of patients who required intensive care unit (ICU) services. Patients in the ICU (N = 6331) were stratified groups. Mean cost per patient generally increased with age. Older (65 years older) treated had longer lengths stay, higher mortality rates, greater percentage outlier patients, as compared younger (under 65 age). would have produced substantial loss our medical center under diagnosis-related (DRG) all payer prospective payment scheme. Although mean costs associated older every that we examined demonstrated DRGs. As whole 3-year period, generated more than +30 million losses center. These result variety factors, including severity illness utilization. The current DRG system appears be inequitable receives treatment during stay. operating margins continue decline because federal state systems, additional pressures may applied physicians, nurses, health professionals cut expenses these patients. In this effort watch bottom line, physicians nurses must not sacrifice quality or access require