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
Artículo
en Español
| 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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Precios de Hospital
/
Unidades de Cuidados Intensivos
/
Tiempo de Internación
Tipo de estudio:
Evaluación Económica en Salud
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2013
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Universidad de Talca/CL
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