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2006, Number 3

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Med Crit 2006; 20 (3)

A comparison of the clinical performance and cost-effectiveness in three periods during nine year assistance activity in an Intensive Care Unit

Cerón DUW, Abascal C, Sierra UA

Language: Spanish
References: 11
Page: 126-135
PDF size: 83.12 Kb.


ABSTRACT

Objective: To compare the performance in an Intensive Care Unit in three periods following the Rapoport method.
Design: A prospective comparative study.
Setting: The Intensive Care Unit of a teaching hospital.
Patients: Patients who were admitted in three different periods: 1 (2 years from April 1995), 2 (one year from June 1998), and 3 (whole 2004).
Interventions: None.
Measurements and main results:

period Entries included IRCE* IRURE*
1 862 599 -0.44 -
2 492 0.45 -0.201 2.59
3 428 338 4.2 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 9 year period of assistance activity, there is a trend toward a better clinical performance (effectiveness), as the advantage is preserved in terms of utilization of resources in terms of the original Rapoport´s study.


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