Tags

Type your tag names separated by a space and hit enter

Cost analysis of blood purification in intensive care units: continuous versus intermittent hemodiafiltration.
J Nephrol. 2003 Jul-Aug; 16(4):572-9.JN

Abstract

BACKGROUND

We implemented a program for continuous renal replacement therapies (CRRT) in intensive care units (ICU) based on the cooperative work of dialysis and ICU personnel. Our aim was to report the main details of this program and compare its cost with that of intermittent hemodiafiltration (IHDF).

METHODS

The study referred to 181 ICU patients with renal failure. We considered the costs of both technical devices and assisting personnel. CRRT was performed as continuous veno-venous hemodiafiltration (CVVHDF) (24 hr daily); dialysis and ICU nurses shared surveillance. Only dialysis nurses performed IHDF (as acetate-free biofiltration, 4 hr daily) in the ICU.

RESULTS

The daily cost of CRRT was Euro 276.70; of which 79% was for devices and 21% was for human resources. Nurse surveillance required 141 min per day, ICU nurses supplied 55% (77 min) and dialysis nurses 45% (64 min). On average, CRRT surveillance required less than 1 min/nurse/hr for both dialysis and ICU nurses. The daily cost of 4-hr IHDF sessions of was Euro 247.83, of which 44% was for technical devices and 56% was for human resources.

CONCLUSIONS

The cooperation between dialysis and ICUs improved the use of human resources and allowed us to supply CRRT to all critically ill patients with acute renal failure. The expenditure for CRRT was 12% higher than that for IHDF, due to the cost of technical devices.

Authors+Show Affiliations

Nephrology and Dialysis Unit, Renal Stone Centre, Mauriziano Umberto I Hospital, Turin, Italy. covitale@libero.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

14696761

Citation

Vitale, Corrado, et al. "Cost Analysis of Blood Purification in Intensive Care Units: Continuous Versus Intermittent Hemodiafiltration." Journal of Nephrology, vol. 16, no. 4, 2003, pp. 572-9.
Vitale C, Bagnis C, Marangella M, et al. Cost analysis of blood purification in intensive care units: continuous versus intermittent hemodiafiltration. J Nephrol. 2003;16(4):572-9.
Vitale, C., Bagnis, C., Marangella, M., Belloni, G., Lupo, M., Spina, G., Bondonio, P., & Ramello, A. (2003). Cost analysis of blood purification in intensive care units: continuous versus intermittent hemodiafiltration. Journal of Nephrology, 16(4), 572-9.
Vitale C, et al. Cost Analysis of Blood Purification in Intensive Care Units: Continuous Versus Intermittent Hemodiafiltration. J Nephrol. 2003 Jul-Aug;16(4):572-9. PubMed PMID: 14696761.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost analysis of blood purification in intensive care units: continuous versus intermittent hemodiafiltration. AU - Vitale,Corrado, AU - Bagnis,Cristiana, AU - Marangella,Martino, AU - Belloni,Giuseppe, AU - Lupo,Mario, AU - Spina,Giuseppe, AU - Bondonio,Piervincenzo, AU - Ramello,Adriano, PY - 2003/12/31/pubmed PY - 2004/2/13/medline PY - 2003/12/31/entrez SP - 572 EP - 9 JF - Journal of nephrology JO - J Nephrol VL - 16 IS - 4 N2 - BACKGROUND: We implemented a program for continuous renal replacement therapies (CRRT) in intensive care units (ICU) based on the cooperative work of dialysis and ICU personnel. Our aim was to report the main details of this program and compare its cost with that of intermittent hemodiafiltration (IHDF). METHODS: The study referred to 181 ICU patients with renal failure. We considered the costs of both technical devices and assisting personnel. CRRT was performed as continuous veno-venous hemodiafiltration (CVVHDF) (24 hr daily); dialysis and ICU nurses shared surveillance. Only dialysis nurses performed IHDF (as acetate-free biofiltration, 4 hr daily) in the ICU. RESULTS: The daily cost of CRRT was Euro 276.70; of which 79% was for devices and 21% was for human resources. Nurse surveillance required 141 min per day, ICU nurses supplied 55% (77 min) and dialysis nurses 45% (64 min). On average, CRRT surveillance required less than 1 min/nurse/hr for both dialysis and ICU nurses. The daily cost of 4-hr IHDF sessions of was Euro 247.83, of which 44% was for technical devices and 56% was for human resources. CONCLUSIONS: The cooperation between dialysis and ICUs improved the use of human resources and allowed us to supply CRRT to all critically ill patients with acute renal failure. The expenditure for CRRT was 12% higher than that for IHDF, due to the cost of technical devices. SN - 1121-8428 UR - https://www.unboundmedicine.com/medline/citation/14696761/Cost_analysis_of_blood_purification_in_intensive_care_units:_continuous_versus_intermittent_hemodiafiltration_ L2 - https://medlineplus.gov/kidneyfailure.html DB - PRIME DP - Unbound Medicine ER -