Renée A. Stiles

Costs associated with delirium in mechanically ventilated patients.

ObjectiveTo determine the costs associated with delirium in mechanically ventilated medical intensive care unit patients. DesignProspective cohort study. SettingA tertiary care academic hospital. PatientsPatients were 275 consecutive mechanically ventilated medical intensive care unit patients. InterventionsWe prospectively examined patients for delirium using the Confusion Assessment Method for the Intensive Care Unit. Measurements and Main ResultsDelirium was categorized as “ever vs. never” and by a cumulative delirium severity index. Costs were determined from individual ledger-level patient charges using cost-center-specific cost-to-charge ratios and were reported in year 2001 U.S. dollars. Fifty-one of 275 patients (18.5%) had persistent coma and died in the hospital and were excluded from further analysis. Of the remaining 224 patients, delirium developed in 183 (81.7%) and lasted a median of 2.1 (interquartile range, 1–3) days. Baseline demographics were similar between those with and without delirium. Intensive care unit costs (median, interquartile range) were significantly higher for those with at least one episode of delirium (

Suboptimal Statin Adherence and Discontinuation in Primary and Secondary Prevention Populations

22,346,

Reduced heart rate volatility: An early predictor of death in trauma patients

15,083–

A Cost Analysis of Colonoscopy using Microcosting and Time-and-motion Techniques

35,521) vs. those with no delirium (

Volatility: a new vital sign identified using a novel bedside monitoring strategy.

13,332,

Behind-the-scenes of patient-centered care: content analysis of electronic messaging among primary care clinic providers and staff.

8,837–

A randomized controlled trial to prevent glycemic relapse in longitudinal diabetes care: Study protocol (NCT00362193)

21,471, p < .001). Total hospital costs were also higher in those who developed delirium (

Effect of Sedation With Dexmedetomidine vs Lorazepam on Acute Brain Dysfunction in Mechanically Ventilated Patients: The MENDS Randomized Controlled Trial

41,836,

The impact of aviation-based teamwork training on the attitudes of health-care professionals

22,782–

Crew resource management training—Clinicians' reactions and attitudes

68,134 vs.