Avaliação do tempo de permanência hospitalar em cirurgia de revascularização miocárdica segundo a fonte pagadora

Silva, Gilmara Silveira da; Sousa, Alexandre Gonçalves de; Soares, Douglas Verbicaro; Colósimo, Flávia Cortez; Piotto, Raquel Ferrari

doi:10.1016/j.ramb.2012.12.005

Cited by 9 publications

(9 citation statements)

References 15 publications

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“…Another study on isolated CABGs and those associated with other procedures in 2010 in the same institution under study found a mean LOS of 11 days, with prolonged stay in 62.67% of the patients [ 18 ] .…”

Section: Discussionmentioning

confidence: 99%

Coronary Artery Bypass Graft Surgery Cost Coverage by the Brazilian Unified Health System (SUS)

Silva

Colósimo

Sousa

et al. 2017

Braz J Cardiovasc Surg

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IntroductionCost management has been identified as an essential tool for the general control and evaluation of health organizations.ObjectivesTo identify the coverage percentage of transferred funds from the Unified Health System for coronary artery bypass grafts in a philanthropic hospital having a consolidated costing system in the municipality of São Paulo.MethodsA quantitative, descriptive and cross-sectional research with information provided from a database composed of 1913 patients undergoing coronary artery bypass graft from March 13 to September 30, 2012, including isolated elective coronary artery bypass graft with the use of extracorporeal circulation. It excluded 551 (28.8%) patients, among them 76 (4.0%) deaths and 8 hospitalized patients, since the cost was compared according to the length of hospital stay. Therefore, the sample consisted of 1362 patients.ResultsThe average total cost per patient was $7,992.55. The average fund transfer by the Unified Health System was $3,450.73 (48.66%), resulting in a deficit of $4,541.82 (51.34%).ConclusionThe Unified Health System transfers covered 48.66% of the average total cost of hospitalization. Although the amount transferred increased with increasing costs, it was not proportional to the total cost, resulting in a percentage difference in revenue that was increasingly negative for each increase in cost and hospital stay. Those hospitalized for longer than seven days presented higher costs, older age, higher percentage of diabetics and chronic kidney disease patients and more postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Coronary Artery Bypass Graft Surgery Cost Coverage by the Brazilian Unified Health System (SUS)

Silva

Colósimo

Sousa

et al. 2017

Braz J Cardiovasc Surg

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“…Durante os últimos anos, diversos estudos foram desenvolvidos com o objetivo de identificar os fatores prognósticos e prever o desfecho para os pacientes gravemente doentes admitidos nas unidades de terapia intensiva. O conhecimento desses fatores é importante para a adoção de medidas preventivas e tratamento mais adequado que podem diminuir as taxas de mortalidade 5,17 .…”

Section: Métodounclassified

Fatores que interferem no desempenho da utilização de leitos de unidade de terapia intensiva(UTI)

Azevedo

Nobre

Dantas

et al. 2020

BJHR

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“…Realizou-se descrição das variáveis encontradas por meio da subdivisão dos pacientes entre o Grupo 1 (não apresentaram reinternação hospitalar), e Grupo 2 (registro de reinternação), seguido de identificação de diferenças de proporções entre as variáveis coletadas e a ocorrência ou não de reinternação hospitalar. Em seguida, dado que o fenômeno de quase-separação nos dados foi observado, ou seja, algumas variáveis prediziam quase completamente o desfecho de interesse (reinternação) e que para pequenas amostras o modelo logístico tradicional pode ser origem de viés nos resultados, utilizou-se o modelo logístico com verossimilhança penalizada, que permite estimar com mais estabilidade as razões de chance (ou odds ratios) e avança em relação ao modelo logístico tradicional, que trabalha com convergências baseadas em razões de verossimilhança 18 . O estimador obtido foi a razão de chances ou odds ratio (OR) de reinternação (comparado com ausência de reinternação).…”

Section: Análise Dos Dadosunclassified

Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions

Malta¹,

Costa²,

Machado³

et al. 2020

Rev Bras Farm Hosp Serv Saude

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Objective: To characterize patients with insulin-dependent Diabetes Mellitus (DM) accompanied by a PF service in a teaching hospital, as well as to identify the occurrence of hospital readmissions and associated factors. Methods: This is a cross-sectional study carried out in a general teaching hospital, being included patients above 18 years old, of both genders, with type 1 or 2 DM diagnosis were admitted from April 2015 to April 2016, accompanied by the Pharmaceutical Follow-up Service of the hospital, who used insulin during hospitalization and received indication for using this drug in the hospital discharge prescription. Data were collected through consultation in electronic medical records and telephone contact after the hospital discharge. Data were recorded in a Microsoft Excel spreadsheet, with the patients subdivided into groups with and without readmission, followed by univariate analysis of associated factors by means of proportion comparison and logistic model with penalized likelihood. Results: Patients who were re-admitted had higher blood sugar values, fewer pharmaceutical interventions regarding insulin use, and longer average hospitalization time. The analysis of the association between variables and readmission did not present statistical significance. Conclusions: The study points out to weaknesses related to the offer of care to the patients under study, such as weaknesses in the coverage for offering actions related to health education in the periods before and after hospital discharge, difficulty in accessing the specialist physician and non-achievement of blood sugar measurement by some patients. There was no association between any of the analyzed variables and hospital readmission.

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Avaliação do tempo de permanência hospitalar em cirurgia de revascularização miocárdica segundo a fonte pagadora

Abstract: The Non-SUS group showed longer LOS compared to the SUS group.

Cited by 9 publications

References 15 publications

Coronary Artery Bypass Graft Surgery Cost Coverage by the Brazilian Unified Health System (SUS)

Coronary Artery Bypass Graft Surgery Cost Coverage by the Brazilian Unified Health System (SUS)

Fatores que interferem no desempenho da utilização de leitos de unidade de terapia intensiva(UTI)

Characterization of patients using insulin in a pharmacotherapeutic service and identification of hospital readmissions

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