Costos reales de tratamientos intensivos por paciente y día cama / Real daily costs of patients admitted to public intensive care units
Rev. méd. Chile
;
141(2): 202-208, feb. 2013. tab
Article
in Spanish
| LILACS
| ID: lil-675061
ABSTRACT
Background:
Patient care costs in intensive care units are high and should be considered in medical decision making.Aim:
To calculate the real disease related costs for patients admitted to intensive care units of public hospitals. Material andMethods:
Using an activity associated costs analysis, the expenses of 716 patients with a mean age of 56 years, mean APACHE score of20 (56% males), admitted to intensive care units of two regional public hospitals, were calculated. Patients were classified according to their underlying disease.Results:
The costs per day of hospital stay, in Chilean pesos, were $ 426,265for sepsis, $ 423,300for cardiovascular diseases, $ 418,329 for kidney diseases, $ 404,873 for trauma, $ 398,913 for respiratory diseases, $ 379,455for digestive diseases and $ 371,801 for neurologic disease. Human resources and medications determined up to 85 and 12% of costs, respectively. Patients with sepsis and trauma use 32 and 19% of intensive care unit resources, respectively. Twenty seven percent of resources are invested in patients that eventually died.Conclusions:
A real cost benefit analysis should be performed to optimize resource allocation in intensive care units.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Hospital Charges
/
Intensive Care Units
/
Length of Stay
Type of study:
Health economic evaluation
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2013
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Talca/CL
Similar
MEDLINE
...
LILACS
LIS