Delirium and Associated Length of Stay and Costs in Critically Ill Patients
Purpose. Delirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. Materials and Methods. Prospective studies and randomized controlled tr...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/6612187 |
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| author | Claudia Dziegielewski Charlenn Skead Toros Canturk Colleen Webber Shannon M. Fernando Laura H. Thompson Madison Foster Vanja Ristovic Peter G. Lawlor Dipayan Chaudhuri Chintan Dave Brent Herritt Shirley H. Bush Salmaan Kanji Peter Tanuseputro Kednapa Thavorn Erin Rosenberg Kwadwo Kyeremanteng |
| author_facet | Claudia Dziegielewski Charlenn Skead Toros Canturk Colleen Webber Shannon M. Fernando Laura H. Thompson Madison Foster Vanja Ristovic Peter G. Lawlor Dipayan Chaudhuri Chintan Dave Brent Herritt Shirley H. Bush Salmaan Kanji Peter Tanuseputro Kednapa Thavorn Erin Rosenberg Kwadwo Kyeremanteng |
| author_sort | Claudia Dziegielewski |
| collection | DOAJ |
| description | Purpose. Delirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. Materials and Methods. Prospective studies and randomized controlled trials of patients in the ICU with delirium published between January 1, 2015, and December 31, 2020, were evaluated. Outcome variables including ICU and hospital LOS were obtained, and ICU and hospital costs were derived from the respective LOS. Results. Forty-one studies met inclusion criteria. The mean difference of ICU LOS between patients with and without delirium was significant at 4.77 days (p<0.001); for hospital LOS, this was significant at 6.67 days (p<0.001). Cost data were extractable for 27 studies in which both ICU and hospital LOS were available. The mean difference of ICU costs between patients with and without delirium was significant at $3,921 (p<0.001); for hospital costs, the mean difference was $5,936 (p<0.001). Conclusion. ICU and hospital LOS and associated costs were significantly higher for patients with delirium, compared to those without delirium. Further research is necessary to elucidate other determinants of increased costs and cost-reducing strategies for critically ill patients with delirium. This can provide insight into the required resources for the prevention of delirium, which may contribute to decreasing healthcare expenditure while optimizing the quality of care. |
| format | Article |
| id | doaj-art-a927276877a1408dae1d87516e13cb98 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-a927276877a1408dae1d87516e13cb982025-02-03T01:10:53ZengWileyCritical Care Research and Practice2090-13052090-13132021-01-01202110.1155/2021/66121876612187Delirium and Associated Length of Stay and Costs in Critically Ill PatientsClaudia Dziegielewski0Charlenn Skead1Toros Canturk2Colleen Webber3Shannon M. Fernando4Laura H. Thompson5Madison Foster6Vanja Ristovic7Peter G. Lawlor8Dipayan Chaudhuri9Chintan Dave10Brent Herritt11Shirley H. Bush12Salmaan Kanji13Peter Tanuseputro14Kednapa Thavorn15Erin Rosenberg16Kwadwo Kyeremanteng17Department of Medicine, University of Ottawa, Ottawa, ON, CanadaDepartment of Medicine, University of Ottawa, Ottawa, ON, CanadaDepartment of Medicine, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, CanadaDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, CanadaDepartment of Anesthesia, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, CanadaDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, CanadaDepartment of Medicine, University of Ottawa, Ottawa, ON, CanadaDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, CanadaBruyère Research Institute, Ottawa, ON, CanadaICES uOttawa, Ottawa, ON, CanadaDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, CanadaDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, CanadaPurpose. Delirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. Materials and Methods. Prospective studies and randomized controlled trials of patients in the ICU with delirium published between January 1, 2015, and December 31, 2020, were evaluated. Outcome variables including ICU and hospital LOS were obtained, and ICU and hospital costs were derived from the respective LOS. Results. Forty-one studies met inclusion criteria. The mean difference of ICU LOS between patients with and without delirium was significant at 4.77 days (p<0.001); for hospital LOS, this was significant at 6.67 days (p<0.001). Cost data were extractable for 27 studies in which both ICU and hospital LOS were available. The mean difference of ICU costs between patients with and without delirium was significant at $3,921 (p<0.001); for hospital costs, the mean difference was $5,936 (p<0.001). Conclusion. ICU and hospital LOS and associated costs were significantly higher for patients with delirium, compared to those without delirium. Further research is necessary to elucidate other determinants of increased costs and cost-reducing strategies for critically ill patients with delirium. This can provide insight into the required resources for the prevention of delirium, which may contribute to decreasing healthcare expenditure while optimizing the quality of care.http://dx.doi.org/10.1155/2021/6612187 |
| spellingShingle | Claudia Dziegielewski Charlenn Skead Toros Canturk Colleen Webber Shannon M. Fernando Laura H. Thompson Madison Foster Vanja Ristovic Peter G. Lawlor Dipayan Chaudhuri Chintan Dave Brent Herritt Shirley H. Bush Salmaan Kanji Peter Tanuseputro Kednapa Thavorn Erin Rosenberg Kwadwo Kyeremanteng Delirium and Associated Length of Stay and Costs in Critically Ill Patients Critical Care Research and Practice |
| title | Delirium and Associated Length of Stay and Costs in Critically Ill Patients |
| title_full | Delirium and Associated Length of Stay and Costs in Critically Ill Patients |
| title_fullStr | Delirium and Associated Length of Stay and Costs in Critically Ill Patients |
| title_full_unstemmed | Delirium and Associated Length of Stay and Costs in Critically Ill Patients |
| title_short | Delirium and Associated Length of Stay and Costs in Critically Ill Patients |
| title_sort | delirium and associated length of stay and costs in critically ill patients |
| url | http://dx.doi.org/10.1155/2021/6612187 |
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