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The cost in different subgroups of critically ill patients: a multicentric study in Czech Republic


Intensive care units account for a large proportion of hospital expenditures. The aim of the study was to evaluate different subgroups of patients for clinical outcome and cost of care.


1368 patients were prospectively studied. Demographic data, APACHE II and SOFA score, diagnostic group (TR = trauma, TBI = traumatic brain injury, COPD = chronic obstructive pulmonary disease, CPR = cardiac arrest, ARDS = acute respiratory distress syndrome, INTOX = intoxication), length of ICU stay (LOS), clinical outcome and cost of care in CZK were recorded. Relationship among between cost, diagnostic groups and severity score were evaluated. Data as mean (SD), median (25-75%), t-test, Mann-Whitney Rank Sum Test, z-test, ANOVA, linear regression (SigmaStat Statistical Software) were used, P < 0.05 was considered statistically significant.


Selected results are presented. The longest LOS and most expensive care were observed in ARDS patients. The independent variable of cost is LOS (r = 0.679, P < 0.001).


There were significant differences among selected groups of patients concerning clinical outcome, LOS and cost of care. Obtained data may be of importance in ICU budgeting and in comparing different intensive care units.

Supported by IGA MZ CR 4530-3.

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Parizkova, R., Cerny, V. & Dostal, P. The cost in different subgroups of critically ill patients: a multicentric study in Czech Republic. Crit Care 5, P259 (2001).

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  • Intensive Care Unit
  • Chronic Obstructive Pulmonary Disease
  • Traumatic Brain Injury
  • Czech Republic
  • Brain Injury