Galicia OZN, Jiménez CC, González CPL, Cruz ECN, De Jesús BD

Language: Spanish
References: 13
Page: 115-121
PDF size: 699.08 Kb.

ABSTRACT

Introduction: this is the first pharmacoeconomic study conducted in a Mexican intensive care unit. It presents the results of the research cost analysis in intensive care: a comparative study between neurocritical and non-neurocritical patients, which aimed to compare the costs associated with the length of stay for these two populations. Given the costs and resource demands that characterize intensive care units, it is crucial to analyze resource optimization and hospital stay management, which are key elements in controlling costs in intensive care medicine and demonstrating the efficiency of the service. According to Carrasco, intensive care medicine services account for 5-10% of hospital beds; however, they can consume up to 80% of the budget allocated to hospital units. Material and methods: this descriptive, longitudinal, and analytical study analyzed a convenience sample of 43 patients in a tertiary Intensive Care Unit between December 2022 and February 2023. The sample was divided into a group of neurocritical patients (n = 26) and non-neurocritical patients (n = 17). Direct and indirect costs were calculated using the tables published in the Official Gazette of the Federation, adhering to the ethical principles of the Declaration of Helsinki. Results: the non-neurocritical group, although smaller, had a higher average age and a significantly longer hospital stay (8 versus 4.5 days). This longer stay resulted in higher total costs for this group ($7’814,760 versus $6’755,083 MXN), driven by a greater consumption of resources such as surgical events and radiographs. In contrast, the predominant expenditure in neurocritical patients was concentrated on tomography studies. Conclusions: although the average cost per day was slightly higher in the neurocritical group, the length of stay was the determining factor for the higher overall cost in the non-neurocritical group. This study, the first of its kind in Mexico, sets a precedent for future research on resource optimization and highlights hospital stay management as a key element in cost control in intensive care medicine.

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