Costs of the Acute Respiratory Distress Syndrome
Date
2023-11-29
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Abstract
The acute respiratory distress syndrome (ARDS) is an inflammatory condition of the lungs and is a common condition in adult intensive care units (ICU). The resources required and costs of care for patients with ARDS are substantial due to the severity of illness, resource intensity and extended lengths of stay. There are two parts to this thesis: to systematically review the costing literature in ARDS and to perform a costing study of a cohort of patients with ARDS. The systematic review searched the literature through to April 29, 2021 for articles relevant to ARDS and costs. 4633 publications were found of which 110 were included for full-text review. A total of 22 publications met inclusion criteria and were kept for the final analysis. The assessment was done independently by two reviewers and the systematic review followed PRISMA guidelines. Quality assessment was done using a modified version of the Quality of Health Economic Studies Instrument. This review helped contextualize the results of the costing study. The aim of the costing study was to calculate both hospital inpatient costs and post discharge costs for the three years that followed for patients with ARDS. Clinical factors associated with costs during both the time periods were examined. The costing study was done on a cohort of 585 patients with ARDS who were prospectively identified using a standardized screening protocol in the 4 adults ICUs in Calgary, Alberta, Canada. The post discharge costs were calculated on 364 patients who survived their initial hospital stay and had a traceable, valid Alberta postal codes at the end of the three year follow-up period.
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Keywords
Acute Respiratory Distress Syndrome, Health Economics
Citation
Boucher, P. (2023). Costs of the acute respiratory distress syndrome (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.