Abstract

Despite consuming a large proportion of health care resources, efforts to develop unified strategies by which to reduce ICU costs have been stymied by the existing heterogeneity in their organization and management. Local practice variations, coupled with deficient scientific data by which to optimize the effectiveness of care, has left a precise characterization of the absolute requirement for ICU resources open to significant debate. In addition to personal practice heuristics, resource use and associated costs are influenced by severity of illness, case mix and length of stay.

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