Activity and analysis of costs in a dedicated weaning centre

https://doi.org/10.4081/monaldi.2008.396

Authors

  • E.M. Clini | enrico.clini@unimore.it Institute of Respiratory Diseases, University of Modena-Reggio Emilia, Italy.
  • P. Siddu Villa Pineta Hospital - Dept. of Pulmonary Rehabilitation, Pavullo (MO), Italy.
  • L. Trianni Villa Pineta Hospital - Dept. of Pulmonary Rehabilitation, Pavullo (MO), Italy.
  • R. Graziosi Villa Pineta Hospital - Dept. of Pulmonary Rehabilitation, Pavullo (MO), Italy.
  • E. Crisafulli Villa Pineta Hospital - Dept. of Pulmonary Rehabilitation, Pavullo (MO), Italy.
  • M.T. Nobile Villa Pineta Hospital - Dept. of Pulmonary Rehabilitation, Pavullo (MO), Italy.

Abstract

Aim. To analyse the diagnosis-related characteristics and the costs of treating patients with difficult/prolonged weaning from mechanical ventilation we have undertaken a retrospective observational study. Methods. The study has considered all the patients admitted to our weaning unit of a regional Rehabilitation department during 3 consecutive periods since the opening date. Characteristics of the admitted patients and the DRG-related cares delivered have been recorded. A cost analysis has been obtained over time. Results. The number of beds allocated to this unit (from 4 in the 1st period to 6 in the 2nd and 3rd periods) and the number of patients cared for (from 32 to 43 and to 65, respectively) increased over time. In particular, the COPD to non-COPD patient ratio (from 2.2 to 1.3 and to 1.0) and the DRG/patient weight (from 3.0±0.3 to 3.1±0.2 and to 3.3±0.2 point) changed significantly (p<0.05). The daily reimbursement per patient from the public health care system only slightly increased, whereas the operating margin (reimbursement less costs) per patient significantly improved (from -304, to +17 and +55 €/pt/day, respectively, p<0.05) due to a gradual restriction in the variable costs. Length of stay, mortality rate and weaning rate did not change over time. Conclusion. The weaning centre is a hospital area where economic burdens should be carefully evaluated. Given the actual reimbursement received on a national level for these patients, variable costs might be better spread, thus optimising the burdens without losing out on clinical outcomes.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Downloads

Published
2016-01-26
Info
Issue
Section
Original Articles
Keywords:
Weaning, Cost analysis, Intensive care
Statistics
  • Abstract views: 480

  • PDF: 1255
How to Cite
Clini, E.M., P. Siddu, L. Trianni, R. Graziosi, E. Crisafulli, and M.T. Nobile. 2016. “Activity and Analysis of Costs in a Dedicated Weaning Centre”. Monaldi Archives for Chest Disease 69 (2). https://doi.org/10.4081/monaldi.2008.396.