title: [Daily survey of procedures as markers of resources utilization].
abstract: OBJECTIVE
  To assess and to follow along the time-span of ICU stay the process of resources allocation and utilization.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  A cohort of 778 patients consecutively admitted to 7 multipurpose general ICU in the Milano area were enrolled in a survey of the daily performed interventions/procedures.
  
  
  RESULTS
  The majority of diagnostic procedure/interventions were performed during the first two days. The number and quality of interventions were transferred into points obtaining a score system in non-monetary units. The resource allocation process shows a regular trend in the sub-intensive patients who were only monitorized. On the contrary the 258 patients who were intensively treated and survived show a phase of high resource-consumption (about 30 daily points: roughly twice the score of monitorized patients) then followed by a post-intensive phase with a resource consumption resulting in a daily score absolutely equal to the sub-intensive patients. The intensive patients who die show a significantly higher score than survived patients. Both daily and cumulative scores do not show differences among different type of patients.
  
  
  CONCLUSIONS
  The evaluation of the process of resources allocation, even if in non-monetary units enables the knowledge of the trend of ICU costs and allows the elaboration of the appropriate budget mechanism.
authors.affiliation: Servizi di Anestesia e Rianimazione degli Ospedali, IRCCS Maggiore, Milano.
authors.forename: G
authors.initials: G
authors.lastname: Iapichino
authors.forename: A
authors.initials: A
authors.lastname: Attanasio
authors.forename: L
authors.initials: L
authors.lastname: Avalli
authors.forename: E
authors.initials: E
authors.lastname: Bassi
authors.forename: C
authors.initials: C
authors.lastname: Biffi
authors.forename: E
authors.initials: E
authors.lastname: Calappi
authors.forename: M L
authors.initials: ML
authors.lastname: Casiraghi
authors.forename: P
authors.initials: P
authors.lastname: Ferrario
authors.forename: A
authors.initials: A
authors.lastname: Guarino
authors.forename: M
authors.initials: M
authors.lastname: Langer
authors.forename: B
authors.initials: B
authors.lastname: Marcora
authors.forename: M
authors.initials: M
authors.lastname: Panozzo
authors.forename: G
authors.initials: G
authors.lastname: Reschini
authors.forename: S
authors.initials: S
authors.lastname: Rotelli
authors.forename: A
authors.initials: A
authors.lastname: Sicignano
authors.forename: A
authors.initials: A
authors.lastname: Trivellato
authors.forename: S
authors.initials: S
authors.lastname: Vesconi
authors.forename: D R
authors.initials: DR
authors.lastname: Miranda
mesh_terms: D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006295:Health Resources / Q000706:statistics & numerical data*; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007558:Italy; D007902:Length of Stay; D010865:Pilot Projects; D011446:Prospective Studies; D016896:Treatment Outcome
vernacular_title: Rilevazione giornaliera di procedure come tracciante dell'utilizzo di risorse.