• Hervé Hubert, Comlavi Guinhouya, Laurent Castra, Stéphane Soubrier, Christian Vilhelm, Pierre Ravaux, Mohamed Lemdani, Alain Durocher, and Fabienne Saulnier.
• EA 3614 LEM-MOSCADES, Institute of Engineering in Health of Lille (ILIS), University of Lille 2, 59120 Loos, France. herve.hubert@univ-lille2.fr
• J Crit Care. 2007 Sep 1;22(3):184-90.

PurposeThe purpose of the study was to present a methodological approach enabling the comparison of clinical and economic performances of intensive care units and a graphical visualization based on these 2 dimensions.Patients And MethodsA retrospective analysis of a database of 666 patients admitted in intensive care units over a period of 2 consecutive months.ResultsCalculation of clinical performance is based on the difference between the mortality observed and forecast from the Simplified Acute Physiology Score version 2. The evaluation of resource consumption is carried out from the measure of medical and paramedical care workload. These 2 scores are modeled on the basis of the length of stay and the severity state of the patient. The economic performance is calculated on the basis of the difference between the resource consumption observed and forecast. The graphs are constructed by taking up as coordinates the values of the clinical and economic performances of each center.ConclusionThese graphs enable the identification of the most deviating intensive care units to study, for example, their organizational, technical, or human resource setup accounting for their position.

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