| Item type |
紀要論文(ELS) / Departmental Bulletin Paper(1) |
| 公開日 |
2022-04-11 |
| タイトル |
|
|
タイトル |
ICU Delirium Severity Assessment Needs to Be Introduced into the Japanese Medical Fee System |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
ICU |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
delirium |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
severity |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
medical fee |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| ID登録 |
|
|
ID登録 |
10.15112/00014924 |
|
ID登録タイプ |
JaLC |
| ページ属性 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
P(論文) |
| 著者名(英) |
KOGA, Yuji
OSAKA, Suguru
UEJI, Atsushi
KISHINO, Yukiko
ATARASHI, Mihoe
HIRAMATSU, Takako
|
| 著者所属(英) |
|
|
|
en |
|
|
Department of Nursing, Faculty of Nursing Kawasaki University of Medical Welfare |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Nursing, Faculty of Nursing Kawasaki University of Medical Welfare |
| 著者所属(英) |
|
|
|
en |
|
|
Medical Affairs Division, Kawasaki Medical School Hospital |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Medical Materials, Kawasaki Medical School General Medical Center |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Nursing, Kawasaki Medical School General Medical Center |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Nursing, Kawasaki Medical School Hospital |
| 抄録(英) |
|
|
|
en |
|
|
The impact of severity of ICU delirium on health care costs in Japan has not been clarified. The purpose of this study was to evaluate the relationship between severity of ICU delirium, hospital length of stay, and medical costs in the Japanese reimbursement system. We performed a retrospective cohort study within medical and surgical ICUs at university and general hospitals in Japan that adopt the Diagnosis Procedure Combination/Per-Diem Payment System (DPC/PDPS) system. We examined its ICU delirium severity (i.e., No delirium, Subsyndromal delirium, Delirium) relationship between the ICU length of stay and hospitalizations and medical costs for each group. The study population consisted of 122 patients (65.6% male), aged 72.5 ± 10.81 (median ± SD) years. Hospital and ICU lengths of stay were 26.0 ± 23.63 days, and 5.0 ± 3.51 days, respectively. The patients were categorized into 3 groups: No delirium (N = 32, 26.2%), Subsyndromal delirium (N = 53, 43.4%) and Delirium (N = 37, 30.4%). Statistically significant differences were observed between all 3 groups in medical costs (P < 0.01), between No delirium and Subsyndromal delirium (P < 0.01) and between No delirium and Delirium (P < 0.01) in ICU days, and between No delirium and Delirium in hospital length of stay (P < 0.01). |
| 記事種別(英) |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Original Paper |
| 書誌情報 |
en : Kawasaki journal of medical welfare
巻 27,
号 2,
p. 111-119,
発行日 2022
|
| 公開者 |
|
|
出版者 |
川崎医療福祉学会 |
| 雑誌書誌ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11108172 |
| ISSN |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1341-5077 |
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