Cost Associated with Pediatric Delirium in the ICU

Chani Traube, Elizabeth A. Mauer, Linda M. Gerber, Savneet Kaur, Christine Joyce, Abigail Kerson, Charlene Carlo, Daniel Notterman, Stefan Worgall, Gabrielle Silver, Bruce M. Greenwald

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Objective: To determine the costs associated with delirium in critically ill children. Design: Prospective observational study. Setting: An urban, academic, tertiary-care PICU in New York city. Patients: Four-hundred and sixty-four consecutive PICU admissions between September 2, 2014, and December 12, 2014. Interventions: None. Measurements and Main Results: All children were assessed for delirium daily throughout their PICU stay. Hospital costs were analyzed using cost-to-charge ratios, in 2014 dollars. Median total PICU costs were higher in patients with delirium than in patients who were never delirious ($18,832 vs $4,803; p < 0.0001). Costs increased incrementally with number of days spent delirious (median cost of $9,173 for 1 d with delirium, $19,682 for 2-3 d with delirium, and $75,833 for > 3 d with delirium; p < 0.0001); this remained highly significant even after adjusting for PICU length of stay (p < 0.0001). After controlling for age, gender, severity of illness, and PICU length of stay, delirium was associated with an 85% increase in PICU costs (p < 0.0001). Conclusions: Pediatric delirium is associated with a major increase in PICU costs. Further research directed at prevention and treatment of pediatric delirium is essential to improve outcomes in this population and could lead to substantial healthcare savings.

Original languageEnglish (US)
Pages (from-to)e1175-e1179
JournalCritical care medicine
Volume44
Issue number12
DOIs
StatePublished - Dec 1 2016

All Science Journal Classification (ASJC) codes

  • Critical Care and Intensive Care Medicine

Keywords

  • costs
  • critical care
  • delirium
  • economic analysis
  • pediatric

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    Traube, C., Mauer, E. A., Gerber, L. M., Kaur, S., Joyce, C., Kerson, A., Carlo, C., Notterman, D., Worgall, S., Silver, G., & Greenwald, B. M. (2016). Cost Associated with Pediatric Delirium in the ICU. Critical care medicine, 44(12), e1175-e1179. https://doi.org/10.1097/CCM.0000000000002004