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Comparative Cost Analysis of CRRT in ICU/CCU Patients Undergoing Cardiovascular Surgery vs. Other Procedures at a Texas Hospital
Management Faculty Research
  • Tejaswi Belavadi
  • Alberto Coustasse, Marshall University
  • Douglas Mains
  • Antonio A. Rene
Document Type
Conference Proceeding
Publication Date
11-1-2004
Abstract

The purpose of this study was to conduct a comparative analysis of hospital costs incurred by patients undergoing Cardiovascular Surgery (CVS) and patients undergoing other medical procedures who received Continuous Renal Replacement Therapy (CRRT) in a teaching hospital. A total of 117 patients were identified through review of medical charts for the period of January 1999 to August 2002. Twenty one percent of them were identified having CVS. Eighty-eight percent of the CVS patients admitted to the ICU for CRRT died compared to 67% for non-CVS patients (p=0.047). Average actual costs of hospitalization were $47,225 for CVS patients and $51,724 for non-CVS patients. The mean length of stay (LOS) was 12.8 days for the CVS patients and 18.1 days for other patients (p=0.03). Mean LOS for patients who survived was 23.1 days whereas the average LOS for patients who died was 14.5 days (p=0.06). The differences found between patients who had CVS with CRRT as compared to non-CVS patients with CRRT in terms of mortality and length of stay raise ethical as well cost effectiveness questions of the procedure.

Comments

A poster presented at the American Public Health Association Annual Meeting, Washington, D.C., November, 2004 and is available online at www.apha.org

©2004 The authors. All rights reserved.

Citation Information
Belavadi T., Coustasse, A., Mains, D., Rene, A. Comparative cost analysis of CRRT in ICU/CCU patients undergoing cardiovascular surgery vs. other procedures at a Texas hospital. American Public Health Association Annual Meeting, Washington, D.C. Nov. 2004.