Healthcare Utilization and Costs in Sepsis Survivors in Germany-Secondary Analysis of a Prospective Cohort Study

SMOOTH Study Grp, Konrad F. R. Schmidt*, Katharina Huelle, Thomas Reinhold, Hallie C. Prescott, Rebekka Gehringer, Michael Hartmann, Thomas Lehmann, Friederike Mueller, Konrad Reinhart, Nico Schneider, Maya J. Schroevers, Robert P. Kosilek, Horst C. Vollmar, Christoph Heintze, Jochen S. Gensichen

*Bijbehorende auteur voor dit werk

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Background: Survivors of sepsis often face long-term sequelae after intensive care treatment. Compared to the period of hospitalization, little is known about the ambulatory healthcare utilization in sepsis patients. The study evaluated healthcare utilization and associated costs of sepsis care including allied health professions after initial hospitalization. Methods: Secondary analysis was performed on data in 210 sepsis patients prospectively enrolled from nine intensive care study centers across Germany. Data was collected via structured surveys among their Primary care (Family-) physicians (PCPs) within the first month after discharge from ICU (baseline) and again at 6, 12 and 24 months after discharge, each relating to the period following the last survey. Costs were assessed by standardized cost unit rates from a health care system's perspective. Changes in healthcare utilization and costs over time were calculated using the Wilcoxon rank-sum test. Results: Of the 210 patients enrolled, 146 (69.5%) patients completed the 24 months follow-up. In total, 109 patients were hospitalized within the first 6 months post-intensive care. Mean total direct costs per patient at 0-6 months were euro17,531 (median: euro6047), at 7-12 months euro9029 (median: euro3312), and at 13-24 months euro18,703 (median: euro12,828). The largest contributor to the total direct costs within the first 6 months was re-hospitalizations (euro13,787 (median: euro2965). After this first half year, we observed a significant decline in inpatient care costs for re-hospitalizations (p

Originele taal-2English
Artikelnummer1142
Aantal pagina's17
TijdschriftJournal of Clinical Medicine
Volume11
Nummer van het tijdschrift4
DOI's
StatusPublished - 21-feb.-2022

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