Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, and the environment
Authors' conclusion
Interventions to reduce low-value care in ICUs may have important health, financial, and environmental co-benefits.
Study context
- Population
- ICU settings32 eligible studies
- Comparison
- Interventions to reduce low-value care in intensive care units (ICUs)
- Outcome
- Impact on immediate low-value care target
Methodological detailsMEDLINE, Embase, Cochrane CENTRAL searched from inception to 22 September 2023
- MEDLINE, Embase, Cochrane CENTRAL searched from inception to 22 September 2023
Main finding
As reported in the abstract
Studies targeting routine blood testing
13
Studies targeting routine chest X-rays
10
Studies targeting other or multiple types of low-value care
9
Further findings
Health outcomes and costs
- Many interventions associated with improved health outcomes and financial savings; small samples limited ability to detect impacts
Environmental impact
- Only study reporting environmental impacts found reduced CO2-e emissions
Original publication
Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, and the environment. Intensive Care Med. Published 25 October 2024. doi:10. 1007/ s00134-024-07670-7
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