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Revista Cubana de Anestesiología y Reanimación

2022, Number 1

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Revista Cubana de Anestesiología y Reanimación 2022; 21 (1)

Costs generated by the care of the critically ill patient in intensive care units

Suárez CY, Pastrana RIC, Rego ÁH, Pérez PE, Vitón CAA

Language: Spanish
References: 18
Page: 1-10
PDF size: 316.15 Kb.


ABSTRACT

Introduction: Intensive Care Units provide care to patients with clinical conditions that put their lives in danger or with potential to it. Therefore, highly specialized personnel, equipment and medicines are required; which generates high expenses.
Objective: Describe the costs of care for critical patients treated in the Intensive Care Unit.
Methods: A partial economic evaluation study of cost description was conducted. The overall sample was made up of 455 patients; a sample of 155 was selected by a simple random sampling. Data collection was carried out through the cost records of the Department of Accounting and Statistics, medical histories, card and cost sheet.
Results: Daily costs per patient were 656.76 CUP. The radiology department was the one with the highest charges (23069.88 CUP), the most indicated complementary test was the blood count (883). Deep vein catheters were the most used instruments and generated a total expenditure of 144.26 CUP. Electrolytes and antimicrobials were the drug groups that generated the highest costs (49133.95 and 24896.08 CUP, respectively). Hemodialysis generated an expense of 142 441 CUP.
Conclusions: Imaging and laboratory studies necessary for diagnosis and followup, as well as the use of antimicrobials, electrolytes and equipment and procedures for the care of the critically ill patient present high costs.


REFERENCES

  1. Alvear S, Canteros J, Jara J, Rodríguez P. Costos reales de tratamientos intensivos por paciente y día cama. Rev Med Chile. 2013[acceso: 05/05/2021];141:202-8. Disponible en: https://scielo.conicyt.cl/pdf/rmc/v141n2/art09.pdf

  2. Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias. Indicadores de calidad en el enfermo crítico. España: SEMICYUC. 2011[acceso: 05/05/2021]. Disponible en: https://semicyuc.org/wpcontent/uploads/2007/04/actualizacion_indicadores_calidad_2011.pdf

  3. Alvear S, Canteros J, Rodríguez P. Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama. Rev Med Chile. 2010[acceso: 05/05/2021];138:558-66. Disponible en: https://scielo.conicyt.cl/pdf/rmc/v138n5/art05.pdf

  4. Ministerio de Salud Pública, Dirección de Finanzas y Contabilidad. Manual de Instrucciones y Procedimientos de Costos en Salud. La Habana: Ministerio de Salud Pública; 2010[acceso: 05/05/2021]. Disponible en: http://www.dncontabilidad.sld.cu/Doc/act/manuales/MANUAL%20DE%20COSTOS%20EN%20SALUD.pdf

  5. Ivisate G, Casanova Moreno M, Socarrás López C, Silva Sánchez D, Gómez Guerra D. Costos de la atención en un Centro de Atención al Diabético de Pinar del Río. Rev Cien Méd Pinar del Río. 2018[acceso: 06/07/2021];22(4):708-18. Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/3547

  6. Gálvez González AM. Guía Metodológica para la Evaluación Económica en Salud, Cuba, 2003. Rev Cubana Salud Pública. 2004[acceso: 05/05/2021];30(1):37-54. Disponible en: http://www.bvs.sld.cu/revistas/spu/vol30_1_04/spu05104.pdf

  7. Sánchez Fernández NE, Sánchez Clemente A, Torres Félix L, Valiente Matos LM, Thomas Ferrer F. Importancia del conocimiento del costo para el estomatólogo general integral. Rev Inf Cient. 2018[acceso: 05/05/2021];97(2). Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1835

  8. Samón Cruz J, Cautín Legrá L, Ruiz Martínez I, Mustelier Ramos LC, Caraballo Fernández L. Necesidad de estudios sobre costos en la Universidad de Ciencias Médicas Guantánamo. Rev Inf Cient. 2018[acceso: 05/05/2021];97(1). Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1820

  9. Velasco Pérez JC. DOF - Diario Oficial de la Federación. Secretaria de Gobernación. 2017[acceso: 06/04/2021]. Disponible en: http://dof.gob.mx/nota_detalle.php?codigo=5476988&fecha=21/03/2017

  10. Aguilar García CR, Martínez Torres C. La realidad de la unidad de cuidados intensivos. Med Crit. 2017[acceso: 06/07/2021];31(3). Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-89092017000300171

  11. Evans J, Kobewka D, Thavorn K, D´Egidio G, Rosenberg E, Kyeremanteg K. The impact of reducing intensive care unit length of stay on hospital costs: evidence from a tertiary care hospital in Canada. Can J Anesth/J Can Anesth. 2018;65:627-35. DOI: https://doi.org/10.1007/s12630-018-1087-1

  12. Herritt B, Chaudhuri D, Thavorn K, Kubelik D, Kyeremanteng K. Early vs. late tracheostomy in intensive care settings: Impact on ICU and hospital costs. J Crit Care. 2018;44:285-8. DOI: https://doi.org/10.1016/j.jcrc.2017.11.037

  13. George Quintero RS, Laborí Ruiz R, Noa Legrá M, Quintero Lores CM. Elementos característicos de costos relacionados con la salud pública de Cuba. Rev Inf Cient. 2017 [acceso: 04/07/2021];96(4). Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1198

  14. George Quintero RS, Laborí Ruiz R, Noa Legrá G, Noa Legrá M. Una mirada a la economía de la salud. Rev Inf Cient. 2017[acceso: 04/07/2021];96(5). Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1758

  15. Altawalbeh SM, Saul MI, Seybert AL, Thorpe JM, Kane-Gill SL. Intensive care unit drug costs in the context of total hospital drug expenditures with suggestions for targeted cost containment efforts. Journal of Critical Care. 2018;44(2018):77-81. DOI: https://doi.org/10.1016/j.jcrc.2017.10.029

  16. Kiliç M, Yüzkat N, Soyalp C, Gülhas N. Cost analysis on intensive care unit costs based on the length of stay. Turk J Anaesthesiol Reanim. 2019;47(2):142-5. DOI: https://doi.org/10.5152/TJAR.2019.80445

  17. Agrawal A, Bhauraoji Gandhe M, Gandhe S, Agrawal N. Study of length of stay and average cost of treatment in Medicine Intensive Care Unit at tertiary care center. J Health Res Rev. 2017;4:24-9. DOI: https://doi.org/10.4103/2394-2010.199329

  18. Hammond DA, Chiu T, Painter JT, Meena N. Nonpharmacist Health Care Providers' Knowledge of and Opinions Regarding Medication Costs in Critically Ill Patients. Hospital Pharmacy. 2018;53(3):188-93. DOI: https://doi.org/10.1177/0018578717739005




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