Cost Associated With Pediatric Delirium in the ICU.

TitleCost Associated With Pediatric Delirium in the ICU.
Publication TypeJournal Article
Year of Publication2016
AuthorsTraube C, Mauer EA, Gerber LM, Kaur S, Joyce C, Kerson A, Carlo C, Notterman D, Worgall S, Silver G, Greenwald BM
JournalCrit Care Med
Date Published2016 Dec
KeywordsAdolescent, Child, Child, Preschool, Delirium, Female, Hospital Costs, Humans, Infant, Infant, Newborn, Intensive Care Units, Pediatric, Male, Prospective Studies

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.


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.

Custom 1

Alternate JournalCrit. Care Med.
PubMed ID27518377
PubMed Central IDPMC5592112
Grant ListP2C HD047879 / HD / NICHD NIH HHS / United States
UL1 TR000457 / TR / NCATS NIH HHS / United States

Weill Cornell Medicine Gale and Ira Drukier Institute for Children's Health 413 E. 69th Street New York, NY 10021