Table 3.
Cost and Utilization Differences Between Patients with and without Difficult Intubation Before and After Risk Adjustment
Before Risk Adjustment | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Difficult Intubation | No Difficult Intubation | |||||||||||||
N | Mean | ICU Admission Rate | 95% Lower CI | 95% Upper CI | STD | N | Mean | ICU Admission Rate | 95% Lower CI | 95% Upper CI | STD | p-value | Mean Difference | |
Admission Cost (US Dollars) | 609 | $45,251 | – | $41,780 | $48,722 | $43,613 | 2,233,142 | $22,056 | – | $22,020 | $22,091 | $27,008 | <0.0001 | $23,196 |
Admission Length of Stay (Days) | 609 | 10.7 | 60% | 9.7 | 11.7 | 12.1 | 2,233,142 | 4.5 | 16% | 4.5 | 4.5 | 5.8 | <0.0001 | 6.2 |
ICU Cost (US Dollars) | 367 | $11,657 | – | $10,051 | $13,264 | $15,653 | 358,359 | $7,049 | – | $7,018 | $7,079 | $9,386 | <0.0001 | $4,609 |
ICU Length of Stay (Days) | 367 | 5.4 | – | 4.8 | 6.0 | 5.8 | 358,359 | 3.4 | – | 3.3 | 3.4 | 3.9 | <0.0001 | 2.0 |
After Risk Adjustment | ||||||||||||||
Difficult Intubation | No Difficult Intubation | |||||||||||||
N | Mean | ICU Admission Rate | 95% Lower CI | 95% Upper CI | STD | N | Mean | ICU Admission Rate | 95% Lower CI | 95% Upper CI | STD | p-value | Mean Difference | |
Admission Cost (US Dollars) | 606 | $45,233 | – | $41,748 | $48,717 | $43,679 | 606 | $30,765 | – | $28,242 | $33,288 | $31,624 | <0.0001 | $14,468 |
Admission Length of Stay (Days) | 606 | 10.7 | 60% | 9.8 | 11.7 | 12.1 | 606 | 6.9 | 33% | 6.3 | 7.5 | 7.7 | <0.0001 | 3.8 |
ICU Cost (US Dollars) | 364 | $11,662 | – | $10,043 | $13,280 | $15,702 | 198 | $7,633 | – | $6,393 | $8,873 | $8,849 | 0.0001 | $4,029 |
ICU Length of Stay (Days) | 364 | 5.4 | 4.8 | 6.0 | 5.8 | 198 | 3.4 | 2.9 | 4.0 | 3.8 | <0.0001 | 2.0 |
Notes: ICU admission rate, cost (US dollars), and length of stay (days) are reported for patients who had an ICU admission 0–2 days after the primary surgery.
Abbreviations: CI, confidence interval; ICU, intensive care unit; N, number of patients; STD, standard deviation.