ICU sedation, delirium & recovery

Impact of a family support intervention on hospitalization costs and hospital readmissions among ICU patients at high risk of death or severe functional impairment

Ann Intensive CarePublished Secondary analysis of the PARTNER randomised trial

Primary result · Total controllable costs (geometric mean)Result — go to the resultLog-linear coefficient - 0.30 95% CI - 0.49, - 0.11

Authors' conclusion

A family support intervention delivered by the interprofessional ICU team significantly decreased index hospitalization costs and readmission rates over 6-month follow-up.

Study context

Population
Critically ill ICU patients at high risk of death or severe functional impairment
Comparison
Interprofessional ICU family support intervention vs usual care
Primary endpoint
Index hospitalization costs (total controllable and direct variable costs) and hospital readmissions
Methodological detailsmulticenter, stepped-wedge, cluster randomized
  • Multicenter
  • Stepped-wedge
  • Cluster randomized

Primary result

Total controllable costs (geometric mean)

Log-linear coefficient

- 0.30

95% CI - 0.49, - 0.11

By group

PARTNER intervention

$26,529

geometric mean

Usual care

$32,105

geometric mean

As reported in the abstract

Further findings

Geometric mean $

OutcomePARTNER interventionUsual careLog-linear coefficient (95% CI)
Direct variable costs39126034- 0.33 (- 0.56, - 0.10)

Total controllable costs, decedents (subgroup)

Larger cost reduction in decedents, intervention vs usual care (costs; log-linear coefficient; 95% CI)
$20,304 vs. $26,610; - 0.66; 95% CI - 1.01, - 0.31

Total controllable costs, survivors (subgroup)

Smaller cost reduction in survivors, intervention vs usual care (costs; log-linear coefficient; 95% CI)
$31,353 vs. $35,015; - 0.15; 95% CI - 0.35,0.05

Readmission to acute care hospital · 6-month follow-up

Lower proportion readmitted in the intervention arm vs usual care
34.9% vs 45.1%; 0.66; 95% CI 0.56, 0.77 (proportions; estimate; 95% CI)

Readmission to skilled nursing facility · 6-month follow-up

Lower proportion readmitted in the intervention arm vs usual care
25.3% vs 31.6%; 0.63; 95% CI 0.47, 0.84 (proportions; estimate; 95% CI)

Original publication

Impact of a family support intervention on hospitalization costs and hospital readmissions among ICU patients at high risk of death or severe functional impairment. Ann Intensive Care. Published 2 July 2024. doi:10.1186/s13613-024-01344-9

Composed by AI from the published abstract and checked against it. How Briefs are made →

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