AIM: To analyse the diagnosis-related characteristics and the costs of treating patients with difficult/prolonged weaning from mechanical ventilation we have undertaken a retrospective observational study. METHODS: The study has considered all the patients admitted to our weaning unit of a regional Rehabilitation department during 3 consecutive periods since the opening date. Characteristics of the admitted patients and the DRG-related cares delivered have been recorded. A cost analysis has been obtained over time. RESULTS: The number of beds allocated to this unit (from 4 in the 1st period to 6 in the 2nd and 3rd periods) and the number of patients cared for (from 32 to 43 and to 65, respectively) increased over time. In particular, the COPD to non-COPD patient ratio (from 2.2 to 1.3 and to 1.0) and the DRG/patient weight (from 3.0 +/- 0.3 to 3.1 +/- 0.2 and to 3.3 +/- 0.2 point) changed significantly (p < 0.05). The daily reimbursement per patient from the public health care system only slightly increased, whereas the operating margin (reimbursement less costs) per patient significantly improved (from -304, to +17 and +55 Euro/pt/day, respectively, p < 0.05) due to a gradual restriction in the variable costs. Length of stay, mortality rate and weaning rate did not change over time. CONCLUSION: The weaning centre is a hospital area where economic burdens should be carefully evaluated. Given the actual reimbursement received on a national level for these patients, variable costs might be better spread, thus optimising the burdens without losing out on clinical outcomes.
|Data di pubblicazione:||2008|
|Titolo:||Activity and analysis of costs in a dedicated weaning centre.|
|Autore/i:||Clini, Enrico; P., Siddu; L., Trianni; R., Graziosi; E., Crisafulli; M. T., Nobile|
|Codice identificativo Scopus:||2-s2.0-51749114005|
|Codice identificativo Pubmed:||18837417|
|Citazione:||Activity and analysis of costs in a dedicated weaning centre / Clini, Enrico; P., Siddu; L., Trianni; R., Graziosi; E., Crisafulli; M. T., Nobile. - In: MONALDI ARCHIVES FOR CHEST DISEASE. - ISSN 1122-0643. - ELETTRONICO. - 69(2008), pp. 55-58.|
|Tipologia||Articolo su rivista|
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