Cost Associated With Pediatric Delirium in the ICU. Academic Article uri icon

Overview

abstract

  • To determine the costs associated with delirium in critically ill children. Prospective observational study. An urban, academic, tertiary-care PICU in New York city. Four-hundred and sixty-four consecutive PICU admissions between September 2, 2014, and December 12, 2014. None. 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). 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.

publication date

  • December 2016

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1097/CCM.0000000000002004

PubMed ID

  • 27518377

Additional Document Info

start page

  • e1175

end page

  • e1179

volume

  • 44

number

  • 12