2006, Number 1
Cost-effectiveness analysis using Rapoport’s method during a year of work in a private polyvalent intensive care unit of Mexico
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ABSTRACTObjective: To analyze all the patients admitted in the ICU during the period from January to December 2004 utilizing the Rapoport method.
Design: A prospective cohort study.
Setting: A mexican intensive care unit within a teaching hospital.
Patients: 338 adult patients.
Measurements and main results: Admittance: 428. Included: 338. IRCE: 0.9. IRURE: 2.27. IRCE = standardized clinical performance index; a positive value reflects less mortality than expected. IRURE = standardized resource use performance index; a positive value reflects less resource utilization than expected. The units are the standard deviation of the mean of participant units in the Rapoport’s original study.
Conclusion: In a one year period, we can see there is good clinical performance and less resource utilization than the reference units of the Rapoport study.
Cerón U, Sierra A, Martínez R et al. Base de datos para el control de calidad y utilización de recursos en la Unidad de Terapia Intensiva. Rev Mex Med Crit y Ter Int 1996;10:105-201.
Rapoport J, Teres D, Lemeshow S et al. A method for assessing the clinical performance and cost-effectiveness of intensive care units: a multicenter inception cohort study. Crit Care Med 1994;22:1385-1391.
Shorr AF et al. An update on cost-effectiveness analysis in critical care. Curr Opin Crit Care 2002;8(4):337-43.
Booth F, Short M, Shorr A et al. Application of populationbased severity scoring system to individual patients results in frequent misclassification. Crit Care Med 2005;9: R522-R529.
Pronovost P, Nolan T, Zeger S et al. How can clinicians measure safety and quality in acute care? Lancet 2004;363:1061-67.
Williams S, Schmaltz S, Morton D et al. Quality of care in U.S. Hospitals as reflected by standardized measures, 2002-2004. N Engl J Med 2005;353:255-64.