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
Primary result · Total controllable costs (geometric mean)Result — go to the resultLog-linear coefficient - 0.30 95% CI - 0.49, - 0.11Authors' 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 $
| Outcome | PARTNER intervention | Usual care | Log-linear coefficient (95% CI) |
|---|---|---|---|
| Direct variable costs | 3912 | 6034 | - 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 →