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

Abstract

Issue Title: ESICM LIVES 2015

Ruiz Moreno et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A482

http://www.icm-experimental.com/content/3/S1/A482

POSTER PRESENTATION Open Access

Consumption of resources (CR) in critically ill patients (CIP) with percutaneous tracheostomy (PT)

J Ruiz Moreno1*, E Gonzlez Marn1, MJ Esteve Paos1, R Corcuera Romero de la Devesa1, S Godayol Arias2, MJ Riba Ribalta1, N Conesa Folch1, F Baigorri Gonzlez1, A Artigas Ravents3

From ESICM LIVES 2015Berlin, Germany. 3-7 October 2015

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), readmissionb) 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 ultrasoundf) isolation measuresg) cardiac catheterizationStatistical analysis: Ji squared and contrast of means (Students 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

Authors details

1Quirn Salud Hospital Universitario Sagrat Cor, Critical Care Department, Barcelona, Spain. 2Quirn Salud Hospital Universitario Sagrat Cor, Emergency Department, Barcelona, Spain. 3Hospital de Clnicas de Sabadell & Quirn Salud Hospital Universitario Sagrat Cor, Critical Care Department, Sabadell, Spain.

1Quirn Salud Hospital Universitario Sagrat Cor, Critical Care Department, Barcelona, SpainFull list of author information is available at the end of the article

2015 Ruiz Moreno et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0

Web End =http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Ruiz Moreno et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A482

http://www.icm-experimental.com/content/3/S1/A482

Page 2 of 2

Table 1 Results I

Global % or SD PT % or SD no PT % or SD p value CIPs 2559 100 53 2.1 2506 97.9Age 65.9 16.7 70.6 10.5 65.7 16.8 0.0005 Mortality 182 7.1 25 47.2 157 6.2 0.0001 LOS 3.51 6.5 34.9 19.0 2.85 3.8 0.0005 Readmission 136 5.3 8 15.1 128 5.1 0.0013 RW od DRG 4.2137 5 30.4955 15.3 3.6579 2.3 0.001

Table 2 Results II

Global % or SD PT % or SD No PT % or SD p value IMV 774 30.2 53 100 721 28.8 0.001 nIMV 298 11.6 31 58.5 267 10.6 0.001 RRT 91 3.6 12 22.6 79 3.1 0.001 ICP 14 0.5 3 5.7 11 0.4 0.001 TCDU 20 0.8 5 7.5 16 0.6 0.001 Isolation 92 3.6 23 43.4 69 2.7 0.001 Catheterization 103 4.0 0 0 103 4.1 0.001

Published: 1 October 2015

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doi:10.1186/2197-425X-3-S1-A482Cite this article as: Ruiz Moreno et al.: Consumption of resources (CR) in critically ill patients (CIP) with percutaneous tracheostomy (PT). Intensive Care Medicine Experimental 2015 3(Suppl 1):A482.

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