Costos reales de tratamientos intensivos por paciente y día cama

Sandra Alvear ^[1] ; Jorge Canteros ^[3] ; Juan Jara ^[2] ; Patricia Rodríguez ^[1]
1. [1] Universidad de Talca
  
  Universidad de Talca
  
  Provincia de Talca, Chile
2. [2] Hospital Regional de Talca
  
  Hospital Regional de Talca
  
  Provincia de Talca, Chile
3. [3] Hospital Base de Curicó Unidad de Cuidados Intensivos
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Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 141, Nº. 2, 2013, págs. 202-208
Idioma: español
Títulos paralelos:
- Real daily costs of patients admitted to public intensive care units
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Resumen
- 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 and Methods: 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.