Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical review: Impact of emergency department care on intensive care unit costs. | Critical Care December 2004 Vol 8 No 6 Huang Review Clinical review Impact of emergency department care on intensive care unit costs David T Huang Assistant Professor The CRISMA Clinical Research Investigation and Systems Modeling of Acute Illness Laboratory Department of Critical Care Medicine Department of Emergency Medicine University of Pittsburgh Pittsburgh Pennsylvania USA Corresponding author David T. Huang huangdt@ Published online 3 August 2004 Critical Care 2004 8 498-502 DOI cc2920 This article is online at http content 8 6 498 2004 BioMed Central Ltd Abstract Critical care is both expensive and increasing. Emergency department ED management of critically ill patients before intensive care unit ICU admission is an under-explored area of potential cost saving in the ICU. Although limited current data suggest that ED care has a significant impact on ICU costs both positive and negative. ICU practices can also affect the ED with a lack of ICU beds being the primary reason for ED overcrowding and ambulance diversion in the USA. Earlier application in the ED of intensive therapies such as goal-directed therapy and noninvasive ventilation may reduce ICU costs by decreasing length of stay and need for admission. Future critical care policies and health services research should include both the ED and ICU in their analyses. Keywords cost critical care emergency department emergency medicine intensive care intensive care unit Introduction The cost of critical care is widely recognized as both expensive and increasing 1 2 . Government and private organizations have devoted considerable effort to devising cost control strategies for intensive care units ICUs 3 4 . One under-explored area of potential cost saving is how critically ill patients are managed in the emergency department ED . Specifically what impact does initial ED care of critically ill patients have on downstream ICU costs There are surprisingly few data with which to .
