Skip to main content

Advertisement

Intensive Care Medicine Experimental
Intensive Care Medicine Experimental Cover Image

Volume 3 Supplement 1

ESICM LIVES 2015

Consumption of Resources (CR) in Critically Ill Patients (CIP) With Percutaneous Tracheostomy (PT)

Intensive Care Medicine Experimental volume 3, Article number: A482 (2015) Cite this article

Article metrics

  • 216 Accesses

Introduction

It is considered that the CR of CIPs requiring PT is higher than the overall CIP population. However, both the identification of specific ICU procedures and the relative weight (RW) of the diagnostic related groups (DRG) case - mix system related to each CIP have not been researched sufficiently.

Objectives

To identify and evaluate the CR of the CIPs with need of PT in comparison with the CIPs without requiring RRT.

To evaluate and compare the RW of the DRGs between CIPs with PT and without.

Methods

Exclusion criteria: CIPs < 16 years, major burn patients, incomplete clinical documentation, and voluntary discharge

Variables analyzed:

Study: prospective, analytical, longitudinal, and observational

Period: January 1-2011 / June 30-2014 (42 months)

Setting

Medical/Surgical ICU belonging to a 2790 acute care teaching hospital

Population: 2559 CIPs admitted consecutively to the ICU; sample: 53 CIPs

Exclusion criteria: CIPs < 16 years, major burn CIPs, incomplete clinical documentation, and voluntary discharge.

Variables analyzed:

a) length of stay (LOS), readmission

b) RW of DRG (AP-DRG 25.0 version)

c) invasive mechanical ventilation (IMV), non-invasive mechanical ventilation (nIMV)

d) renal replacement therapy (RRT)

e) Intracranial pressure, transcranial Doppler ultrasound

f) isolation measures

g) cardiac catheterization

Statistical analysis: Ji squared and contrast of means (Student's t)

Results

Conclusions

LOS and readmission are remarkably higher in the CIPs with PT

The RW of DRG is seven times higher in the CIPs with PT

Although expected, IMV and nIMV are also remarkably higher in the CIPs with PT

Isolation measures are more used in CIPs with PT (> 40 %)

RRT, ICP, TCDU and cardiac catheterization are more used in the CIPs with PT

Cardiac catheterization is more used in the CIPs without PT

Table 1 Results I
Full size table
Table 2 Results II
Full size table

References

  1. 1.

    Thomas AN, McGrath BA: Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia. 2009, 64 (4): 358-365. 10.1111/j.1365-2044.2008.05784.x.

  2. 2.

    Silvester W, Goldsmith D, Uchino S, Bellomo R, Knight S, Seevanayagam S, et al: Percutaneous versus surgical tracheostomy: a randomised controlled study with long term follow up. Crit Care Med. 2006, 34 (8): 2145-2152. 10.1097/01.CCM.0000229882.09677.FD.

Download references

Author information

Affiliations

  1. Quirón Salud Hospital Universitario Sagrat Cor, Critical Care Department, Barcelona, Spain

    • J Ruiz Moreno
    • , E González Marín
    • , MJ Esteve Paños
    • , R Corcuera Romero de la Devesa
    • , MJ Riba Ribalta
    • , N Conesa Folch
    •  & F Baigorri González

  2. Quirón Salud Hospital Universitario Sagrat Cor, Emergency Department, Barcelona, Spain

    • S Godayol Arias

  3. Hospital de Clínicas de Sabadell & Quirón Salud Hospital Universitario Sagrat Cor, Critical Care Department, Sabadell, Spain

    • A Artigas Raventós

Authors

  1. Search for J Ruiz Moreno in:

  2. Search for E González Marín in:

  3. Search for MJ Esteve Paños in:

  4. Search for R Corcuera Romero de la Devesa in:

  5. Search for S Godayol Arias in:

  6. Search for MJ Riba Ribalta in:

  7. Search for N Conesa Folch in:

  8. Search for F Baigorri González in:

  9. Search for A Artigas Raventós in:

Corresponding author

Correspondence to J Ruiz Moreno.

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ruiz Moreno, J., González Marín, E., Esteve Paños, M. et al. Consumption of Resources (CR) in Critically Ill Patients (CIP) With Percutaneous Tracheostomy (PT). ICMx 3, A482 (2015) doi:10.1186/2197-425X-3-S1-A482

Download citation

Keywords

  • Teaching Hospital
  • Renal Replacement Therapy
  • Intracranial Pressure
  • Doppler Ultrasound
  • Relative Weight