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First published on May 28, 2008, doi:10.1177/0885066608318661

Journal of Intensive Care Medicine 2008;23:250.

A more recent version of this article appeared on July 1, 2008

Article

A Microcosting Study of Intensive Care Unit Stay in the Netherlands

Siok Swan Tan, MSc1*, Leona Hakkaart-van Roijen,, Ph.D.1, Maiwenn J. Al, Ph.D.1, Clazien A. Bouwmans, MSc1, Marga E. Hoogendoorn,, MSc2, Peter E. Spronk, Ph.D.3, and Jan Bakker, Ph.D.4

1 Erasmus MC University Medical Center institute for Medical Technology Assessment
2 Isala Clinics, Department of Intensive Care
3 Gelre Hospital (Lukas site), Department of Intensive Care Medicine
4 Erasmus MC University Medical Center, Dept of Intensive Care Medicine

* To whom correspondence should be addressed. E-mail: s.s.tan{at}erasmusmc.n.


  Abstract
The primary objective of this study was to estimate the actual daily costs of intensive care unit stay using a microcosting methodology. As a secondary objective, the degree of association between daily intensive care unit costs and some patient characteristics was examined. This multicenter, retrospective cost analysis was conducted in the medical-surgical adult intensive care units of 1 university and 2 general hospitals in the Netherlands for 2006, from a hospital perspective. A total of 576 adult patients were included, consuming a total of 2868 nursing days. The mean total costs per intensive care unit day were {euro}1911, with labour (33%) and indirect costs (33%) as the most important cost drivers. An ordinary least squares analysis including age, Nine Equivalent of Nursing Manpower Use score/Therapeutic Intervention Scoring System score, mechanical ventilation, blood products, and renal replacement therapy was able to predict 50% of the daily intensive care unit costs.


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