One Year's Experience With a Noninvasively Monitored Intermediate Care Unit for Pulmonary Patients
- 5 September 1990
- journal article
- research article
- Published by American Medical Association (AMA)
- Vol. 264 (9) , 1143-1146
- https://doi.org/10.1001/jama.1990.03450090079031
Abstract
Many studies have shown that selected cardiac patients can be safely and economically cared for in intermediate care units rather than intensive care units. However, there are only limited data concerning intermediate care units for pulmonary patients. We prospectively followed up all Medicare patients from May 5, 1987, through May 4, 1988, who were admitted to a pulmonary noninvasive monitoring unit. Ninety-four patients were admitted 104 times; 33 required mechanical ventilatory support for an average of 26 days. The overall cost savings were greater than $173 000, while high-quality medical care was maintained. We conclude that a noninvasive monitoring unit can be effectively used as an alternative to the intensive care unit for selected pulmonary patients. (JAMA. 1990;264:1143-1146)Keywords
This publication has 15 references indexed in Scilit:
- Economics of Prolonged Mechanical VentilationAmerican Review of Respiratory Disease, 1989
- Noninvasive Detection of Respiratory Failure in the Intensive Care UnitChest, 1988
- DRG Payment for Long-term Ventilator Patients—RevisitedChest, 1988
- Initial Experience with a Central Respiratory Monitoring Unit as a Cost-Saving Alternative to the Intensive Care Unit for Medicare Patients Who Require Long-Term Ventilator SupportChest, 1988
- The High Cost of Acute Health Care: A Review of Escalating Costs and Limitations of Such Exposure in Intensive Care UnitsAmerican Review of Respiratory Disease, 1987
- How do physicians adapt when the coronary care unit is full? A prospective multicenter studyJAMA, 1987
- Rationing of intensive care unit services. An everyday occurrenceJAMA, 1986
- Identification of Low-Risk Monitor Patients Within a Medical-Surgical Intensive Care UnitMedical Care, 1983
- Prolonged mechanically assisted ventilation. An analysis of outcome and chargesPublished by American Medical Association (AMA) ,1980
- Results and Costs of Intensive CareAnesthesiology, 1977