Healthcare costs of ICU survivors are higher before and after ICU admission compared to a population based control group: A descriptive study combining healthcare insurance data and data from a Dutch national quality registry
To identify subgroups of ICU patients with high healthcare utilization for healthcare expenditure management purposes such as prevention and targeted care. We conducted a descriptive cohort study, combining a national health insurance claims database and a national quality registry database for ICUs...
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| Veröffentlicht in: | Journal of critical care 2018-04, Vol.44, p.345-351 |
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| container_title | Journal of critical care |
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| creator | van Beusekom, Ilse Bakhshi-Raiez, Ferishta de Keizer, Nicolette F. van der Schaaf, Marike Busschers, Wim B. Dongelmans, Dave A. |
| description | To identify subgroups of ICU patients with high healthcare utilization for healthcare expenditure management purposes such as prevention and targeted care.
We conducted a descriptive cohort study, combining a national health insurance claims database and a national quality registry database for ICUs. Claims data in the timeframe 2012–2014 were combined with the clinical data of ICU patients admitted to an ICU during 2013. A population based control group was created based on the ICU population.
56,760 ICU patients and 75,232 controls from the general population were included. Median healthcare costs per day alive for the ICU population were significantly higher during the year before (€8.9 (IQR €2.4; €32.1)) and the year after ICU admission (€15.4 (IQR €5.4; €51.2)) compared to the control group ((€2.8 (IQR €0.7; €8.8) and €3.1 (IQR €0.8; €10.1)). ICU patients with more chronic conditions had significantly higher healthcare costs before and after ICU admission compared to ICU patients with less chronic conditions.
ICU patients have three to five times higher healthcare costs per day alive compared to a control population. Our findings can be used to optimize the healthcare trajectories of ICU patients with high healthcare utilization after discharge.
•ICU patients had 3–5 times higher healthcare costs per day compared to a control population.•Differences in healthcare costs are present during the year before ICU admission.•Healthcare costs are greatly influenced by the chronic conditions of ICU patients. |
| doi_str_mv | 10.1016/j.jcrc.2017.12.005 |
| format | Article |
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We conducted a descriptive cohort study, combining a national health insurance claims database and a national quality registry database for ICUs. Claims data in the timeframe 2012–2014 were combined with the clinical data of ICU patients admitted to an ICU during 2013. A population based control group was created based on the ICU population.
56,760 ICU patients and 75,232 controls from the general population were included. Median healthcare costs per day alive for the ICU population were significantly higher during the year before (€8.9 (IQR €2.4; €32.1)) and the year after ICU admission (€15.4 (IQR €5.4; €51.2)) compared to the control group ((€2.8 (IQR €0.7; €8.8) and €3.1 (IQR €0.8; €10.1)). ICU patients with more chronic conditions had significantly higher healthcare costs before and after ICU admission compared to ICU patients with less chronic conditions.
ICU patients have three to five times higher healthcare costs per day alive compared to a control population. Our findings can be used to optimize the healthcare trajectories of ICU patients with high healthcare utilization after discharge.
•ICU patients had 3–5 times higher healthcare costs per day compared to a control population.•Differences in healthcare costs are present during the year before ICU admission.•Healthcare costs are greatly influenced by the chronic conditions of ICU patients.</description><identifier>ISSN: 0883-9441</identifier><identifier>EISSN: 1557-8615</identifier><identifier>DOI: 10.1016/j.jcrc.2017.12.005</identifier><identifier>PMID: 29274597</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Cohort Studies ; Critical Illness - economics ; Female ; Gender differences ; Health Care Costs - statistics & numerical data ; Health care expenditures ; Health insurance ; Healthcare costs ; Hospitalization ; Humans ; ICU patients ; Insurance Claim Review ; Intensive care ; Intensive Care Units - economics ; Intensive Care Units - statistics & numerical data ; Long term outcomes ; Middle Aged ; Morbidity ; Mortality ; Netherlands ; Patients ; Population ; Population based control group ; Population-based studies ; Registries - standards ; Survivors - statistics & numerical data ; Ventilators</subject><ispartof>Journal of critical care, 2018-04, Vol.44, p.345-351</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Apr 1, 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-be505756ba72555e2c3c737c60ebbc34b476e288b3594d9d15d076cc6593746f3</citedby><cites>FETCH-LOGICAL-c384t-be505756ba72555e2c3c737c60ebbc34b476e288b3594d9d15d076cc6593746f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2012330689?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3538,27906,27907,45977,64365,64367,64369,72219</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29274597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Beusekom, Ilse</creatorcontrib><creatorcontrib>Bakhshi-Raiez, Ferishta</creatorcontrib><creatorcontrib>de Keizer, Nicolette F.</creatorcontrib><creatorcontrib>van der Schaaf, Marike</creatorcontrib><creatorcontrib>Busschers, Wim B.</creatorcontrib><creatorcontrib>Dongelmans, Dave A.</creatorcontrib><title>Healthcare costs of ICU survivors are higher before and after ICU admission compared to a population based control group: A descriptive study combining healthcare insurance data and data from a Dutch national quality registry</title><title>Journal of critical care</title><addtitle>J Crit Care</addtitle><description>To identify subgroups of ICU patients with high healthcare utilization for healthcare expenditure management purposes such as prevention and targeted care.
We conducted a descriptive cohort study, combining a national health insurance claims database and a national quality registry database for ICUs. Claims data in the timeframe 2012–2014 were combined with the clinical data of ICU patients admitted to an ICU during 2013. A population based control group was created based on the ICU population.
56,760 ICU patients and 75,232 controls from the general population were included. Median healthcare costs per day alive for the ICU population were significantly higher during the year before (€8.9 (IQR €2.4; €32.1)) and the year after ICU admission (€15.4 (IQR €5.4; €51.2)) compared to the control group ((€2.8 (IQR €0.7; €8.8) and €3.1 (IQR €0.8; €10.1)). ICU patients with more chronic conditions had significantly higher healthcare costs before and after ICU admission compared to ICU patients with less chronic conditions.
ICU patients have three to five times higher healthcare costs per day alive compared to a control population. Our findings can be used to optimize the healthcare trajectories of ICU patients with high healthcare utilization after discharge.
•ICU patients had 3–5 times higher healthcare costs per day compared to a control population.•Differences in healthcare costs are present during the year before ICU admission.•Healthcare costs are greatly influenced by the chronic conditions of ICU patients.</description><subject>Aged</subject><subject>Cohort Studies</subject><subject>Critical Illness - economics</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health care expenditures</subject><subject>Health insurance</subject><subject>Healthcare costs</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>ICU patients</subject><subject>Insurance Claim Review</subject><subject>Intensive care</subject><subject>Intensive Care Units - economics</subject><subject>Intensive Care Units - statistics & numerical data</subject><subject>Long term outcomes</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Netherlands</subject><subject>Patients</subject><subject>Population</subject><subject>Population based control group</subject><subject>Population-based studies</subject><subject>Registries - 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Academic</collection><jtitle>Journal of critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Beusekom, Ilse</au><au>Bakhshi-Raiez, Ferishta</au><au>de Keizer, Nicolette F.</au><au>van der Schaaf, Marike</au><au>Busschers, Wim B.</au><au>Dongelmans, Dave A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare costs of ICU survivors are higher before and after ICU admission compared to a population based control group: A descriptive study combining healthcare insurance data and data from a Dutch national quality registry</atitle><jtitle>Journal of critical care</jtitle><addtitle>J Crit Care</addtitle><date>2018-04</date><risdate>2018</risdate><volume>44</volume><spage>345</spage><epage>351</epage><pages>345-351</pages><issn>0883-9441</issn><eissn>1557-8615</eissn><abstract>To identify subgroups of ICU patients with high healthcare utilization for healthcare expenditure management purposes such as prevention and targeted care.
We conducted a descriptive cohort study, combining a national health insurance claims database and a national quality registry database for ICUs. Claims data in the timeframe 2012–2014 were combined with the clinical data of ICU patients admitted to an ICU during 2013. A population based control group was created based on the ICU population.
56,760 ICU patients and 75,232 controls from the general population were included. Median healthcare costs per day alive for the ICU population were significantly higher during the year before (€8.9 (IQR €2.4; €32.1)) and the year after ICU admission (€15.4 (IQR €5.4; €51.2)) compared to the control group ((€2.8 (IQR €0.7; €8.8) and €3.1 (IQR €0.8; €10.1)). ICU patients with more chronic conditions had significantly higher healthcare costs before and after ICU admission compared to ICU patients with less chronic conditions.
ICU patients have three to five times higher healthcare costs per day alive compared to a control population. Our findings can be used to optimize the healthcare trajectories of ICU patients with high healthcare utilization after discharge.
•ICU patients had 3–5 times higher healthcare costs per day compared to a control population.•Differences in healthcare costs are present during the year before ICU admission.•Healthcare costs are greatly influenced by the chronic conditions of ICU patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29274597</pmid><doi>10.1016/j.jcrc.2017.12.005</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-9441 |
| ispartof | Journal of critical care, 2018-04, Vol.44, p.345-351 |
| issn | 0883-9441 1557-8615 |
| language | eng |
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| subjects | Aged Cohort Studies Critical Illness - economics Female Gender differences Health Care Costs - statistics & numerical data Health care expenditures Health insurance Healthcare costs Hospitalization Humans ICU patients Insurance Claim Review Intensive care Intensive Care Units - economics Intensive Care Units - statistics & numerical data Long term outcomes Middle Aged Morbidity Mortality Netherlands Patients Population Population based control group Population-based studies Registries - standards Survivors - statistics & numerical data Ventilators |
| title | Healthcare costs of ICU survivors are higher before and after ICU admission compared to a population based control group: A descriptive study combining healthcare insurance data and data from a Dutch national quality registry |
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