Public versus Private Healthcare Systems following Discharge from the ICU: A Propensity Score-Matched Comparison of Outcomes

Purpose. The long-term outcomes of patients after discharge from tertiary ICUs as they relate to the public versus private healthcare systems in Brazil have not yet been evaluated. Materials and Methods. A multicenter prospective cohort study was conducted to compare the all-cause mortality and the...

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Bibliographic Details
Published in:BioMed research international 2016-01, Vol.2016 (2016), p.1-8
Main Authors: Castro, Priscylla de Souza, Teixeira, Cassiano, Antônio, Ana Carolina Peçanha, Maccari, Juçara Gasparetto, Cabral, Cláudia da Rocha, Savi, Augusto, Haas, Jaqueline Sanguiogo, Duso, Bruno Achutti, Rosa, Regis Goulart, Dexheimer Neto, Felippe Leopoldo, de Oliveira, Roselaine Pinheiro
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Aged
Analysis
Biomedical research
Brazil
Delivery of Health Care
Female
Hospitals, Private
Hospitals, Public
Humans
Intensive Care Units
Male
Middle Aged
Mortality
Survival Rate
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Summary:Purpose. The long-term outcomes of patients after discharge from tertiary ICUs as they relate to the public versus private healthcare systems in Brazil have not yet been evaluated. Materials and Methods. A multicenter prospective cohort study was conducted to compare the all-cause mortality and the physical functional status (PFS) 24 months after discharge from the ICU between adult patients treated in the public and private healthcare systems. A propensity score- (PS-) matched comparison of all causes of mortality and PFS 24 months after discharge from the ICU was performed. Results. In total, 928 patients were discharged from the ICU including 172 (18.6%) patients in the public and 756 (81.4%) patients in the private healthcare system. The results of the PS-matched comparison of all-cause mortality revealed higher mortality rates among the patients of the public healthcare system compared to those of the private healthcare system (47.3% versus 27.6%, P = 0.003 ). The comparison of the PS-matched Karnofsky performance and Lawton activities of daily living scores between the ICU survivors of the public and private healthcare systems revealed no significant differences. Conclusions. The patients of private healthcare system exhibited significantly greater survival rates than the patients of the public healthcare system with similar PFS following ICU discharge.
ISSN:2314-6133
2314-6141
DOI:10.1155/2016/6568531