Impact of ABCDE Bundle Implementation in the ICU on Specific Patient Costs

journals.sagepub.com August 11, 2021

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Full ABCDE bundle implementation resulted in a decrease in total hospital laboratory costs and total hospital laboratory and diagnostic resource utilization while leading to an increase in physical therapy costs.

The full (A)wakening, (B)reathing, (C)oordination, (D)elirium Monitoring/Management and (E)arly Mobilization bundle was implemented in the intervention ICU while a portion of the bundle (A, B, and D components) was implemented in the comparison ICU.

Relative to the comparison ICU, implementation of the entire bundle in the intervention ICU was associated with a 27.3% decrease in total hospital laboratory costs and a 2,888.6% increase in total hospital physical therapy costs.

Cost of total hospital medications, diagnostic radiology and respiratory therapy were unchanged.