Health Care Costs of Target Attainment for Beta-Lactam Antibiotics in Critically Ill Patients: A Retrospective Analysis of the EXPAT Study.
Ther Drug Monit
; 44(1): 224-229, 2022 02 01.
Article
em En
| MEDLINE
| ID: mdl-33770020
ABSTRACT
BACKGROUND:
Optimizing beta-lactam antibiotic treatment is a promising method to reduce the length of intensive care unit (ICU) stay and therefore reduce ICU costs. We used data from the EXPAT trial to determine whether beta-lactam antibiotic target attainment is a cost determinant in the ICU.METHODS:
Patients included in the EXPAT trial were divided into target attainment and target nonattainment based on serum antibiotic levels. All hospital costs were extracted from the hospital administration system and categorized.RESULTS:
In total, 79 patients were included in the analysis. Target attainment showed a trend toward higher total ICU costs (44,600 versus 28,200, P = 0.103). This trend disappeared when correcting for ICU length of stay (2680 versus 2700). Renal replacement therapy was the most important cost driver.CONCLUSIONS:
Target attainment for beta-lactam antibiotics shows a trend toward higher total costs in ICU patients, which can be attributed to the high costs of a long stay in the ICU and renal replacement therapy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estado Terminal
/
Beta-Lactamas
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
Ther Drug Monit
Ano de publicação:
2022
Tipo de documento:
Article