Title | Cost Associated With Pediatric Delirium in the ICU. |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Traube C, Mauer EA, Gerber LM, Kaur S, Joyce C, Kerson A, Carlo C, Notterman D, Worgall S, Silver G, Greenwald BM |
Journal | Crit Care Med |
Volume | 44 |
Issue | 12 |
Pagination | e1175-e1179 |
Date Published | 2016 Dec |
ISSN | 1530-0293 |
Keywords | Adolescent, Child, Child, Preschool, Delirium, Female, Hospital Costs, Humans, Infant, Infant, Newborn, Intensive Care Units, Pediatric, Male, Prospective Studies |
Abstract | OBJECTIVE: To determine the costs associated with delirium in critically ill children. DESIGN: Prospective observational study. SETTING: An urban, academic, tertiary-care PICU in New York city. PATIENTS: Four-hundred and sixty-four consecutive PICU admissions between September 2, 2014, and December 12, 2014. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: All children were assessed for delirium daily throughout their PICU stay. Hospital costs were analyzed using cost-to-charge ratios, in 2014 dollars. Median total PICU costs were higher in patients with delirium than in patients who were never delirious ($18,832 vs $4,803; p < 0.0001). Costs increased incrementally with number of days spent delirious (median cost of $9,173 for 1 d with delirium, $19,682 for 2-3 d with delirium, and $75,833 for > 3 d with delirium; p < 0.0001); this remained highly significant even after adjusting for PICU length of stay (p < 0.0001). After controlling for age, gender, severity of illness, and PICU length of stay, delirium was associated with an 85% increase in PICU costs (p < 0.0001). CONCLUSIONS: Pediatric delirium is associated with a major increase in PICU costs. Further research directed at prevention and treatment of pediatric delirium is essential to improve outcomes in this population and could lead to substantial healthcare savings. |
DOI | 10.1097/CCM.0000000000002004 |
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Alternate Journal | Crit. Care Med. |
PubMed ID | 27518377 |
PubMed Central ID | PMC5592112 |
Grant List | P2C HD047879 / HD / NICHD NIH HHS / United States UL1 TR000457 / TR / NCATS NIH HHS / United States |