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Abstract：
Background The cost of critical illness treatment is generally recognized as expensive and increasing in India. Critical illness of the individual will affect the socioeconomic status of the individual and the family. The direct and indirect costs of intensive care and its impact on the socioeconomic status of critically ill patients and their families need to be estimated. The present study was carried out to evaluate the socioeconomic burden of critically ill patients admitted to ICUs in Eastern India. Methods A descriptive survey was conducted to measure the socioeconomic burden. One hundred fifteen critically ill patients and their family members were conveniently selected for the study. Critically ill patients admitted to ICUs and those who were bedridden for more than seven days along with anyone the family member, i.e., spouse, father, or mother, were included in the study to estimate the impact of long-term illness on the care providers in the family. Socio-demographic and socioeconomic burdens were analyzed through the interview method. Results Half (49.6%) of the critically ill patients were heads of the family, and their employment is the primary source of income for the family members. Most (60.9%) of the patients belonged to lower socioeconomic status. Critically ill patients spend a maximum (38169.6±3996.2) amount for pharmaceutical expenses. Eventually, the family members accompanying patients lost maximum working days because of the long length of hospital stay. Below upper-lower (p=0.046) class socioeconomic family, age less than 40 (p=0.018) years, and those families depending (p=0.003) on patients\' income significantly reported higher socioeconomic burden. Conclusions Critical care hospitalization of patients increases the socioeconomic burden on the whole family, especially in lower-middle-income countries like India. It soberly affects younger age group patients with low socioeconomic status and families depending on the patient\'s income during their man days.
摘要：
背景技术在印度,危重病治疗的费用通常被认为是昂贵且不断增加的。个人的重大疾病会影响个人和家庭的社会经济地位。重症监护的直接和间接成本及其对危重病人及其家庭的社会经济地位的影响需要估计。本研究旨在评估印度东部ICU收治的重症患者的社会经济负担。方法对社会经济负担进行描述性调查。方便地选择了115名危重病人及其家庭成员进行研究。重症监护病房收治的危重病人和那些卧床不起超过七天的人以及任何家庭成员，即，配偶,父亲,或母亲，被纳入研究，以估计长期疾病对家庭护理提供者的影响。通过访谈方法分析了社会人口和社会经济负担。结果一半(49.6%)的危重病人是家长,他们的就业是家庭成员的主要收入来源。大多数患者（60.9％）属于较低的社会经济地位。危重病人的药费支出最高（38169.6±3996.2）。最终,由于住院时间较长，陪同病人的家庭成员失去了最长的工作日。低于上-下(p=0.046)阶级社会经济家庭，年龄小于40(p=0.018)岁，而那些依赖患者收入的家庭(p=0.003)显著报告了更高的社会经济负担。结论重症监护住院患者增加了整个家庭的社会经济负担,尤其是在印度等中低收入国家。它严重影响社会经济地位较低的年轻年龄组患者和家庭，这取决于患者在男性时期的收入。
