Critical Illness Clinical Trial
Official title:
Cost Effectiveness of Intensive Care in a Low Resource Setting: Prospective Cohort of Medical Critically Ill Patients
The purpose of this study was to examine the cost effectiveness of critical care in a middle
income country with limited resources.
The main study hypothesis was that critical care is cost effective in low resources setting.
The investigators objective was to calculate the cost effectiveness of treatment of
critically ill patients in a medical ICU of a middle income country with limited access to
ICU resources.
Methods: Consecutive critically ill medical patients treated in a recently established
medical ICU in Sarajevo, Bosnia and Herzegovina, were prospectively recorded and a
subsequent cost utility analysis of intensive care in comparison to hospital ward treatment
from the perspective of health care system was performed. Incremental cost effectiveness was
calculated using estimates of ICU versus non-ICU treatment effectiveness based on a formal
systematic review of published studies. Decision analytic modeling was used to compare
treatment alternatives. Sensitivity analyses of the key model parameters were performed.
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Observational Model: Cohort, Time Perspective: Prospective
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