Cost Analysis of Hospitalization for COVID-19 in a Brazilian Public Teaching Hospital

Sousa, Fernanda Ferreira de; Vieira, Bruno Barbosa; Reis, Augusto da Cunha

doi:10.1016/j.vhri.2022.10.006

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…Another European study reported similar cost results although using different severity criteria: general hospitalization was €4,122.96 while intensive care unit (ICU) admission was €21,199.20 ( 7 ) . In Latin America a Brazilian study reported a mean cost of US$7,394 for general hospitalization and US$12,179 for ICU admission ( 8 ) .…”

Section: Introductionmentioning

confidence: 99%

Direct medical cost of COVID-19 in children hospitalized at a tertiary referral healthcare center in Mexico City

Reyes-López,

Jimenez-Juárez,

Salinas-Escudero

et al. 2023

Front. Public Health

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IntroductionDespite the end of the COVID-19 pandemic being declared by the WHO, the economic consequences are far from over. One of these implications was the cost of inpatient care for health institutions. To date, some studies have examined the economic burden of COVID-19 in the adult population but only a few have focused on child populations.ObjectiveTo estimate the direct medical costs of COVID-19, focusing on children in Mexico.MethodData about resources consumed during hospital stays were extracted from the medical records of patients hospitalized at a Mexican tertiary healthcare institution. Other sources of information were the unit prices of inputs and the salaries of health personnel. A micro-costing methodology was used to obtain cost results by age group over different hospital areas. Data analysis was performed with descriptive statistics and regression models to evaluate the predictors of total cost.ResultsOne hundred and ten medical records were reviewed of which 57.3% corresponded to male patients and the mean age was 7.2 years old. The estimated average cost per patient was US$5,943 (95% CI: US$4,249–7,637). When the costs of the three clinical areas were summed, only the 5–10 years old group showed a maximum cost of US$14,000. The regression analysis revealed the following factors as significant: sex, age, staying at an emergency room, having a positive bacterial culture, and having comorbidities.DiscussionThe cost results were somewhat similar to those reported in children from the USA, but only regarding low severity COVID-19 cases. However, comparability between these types of studies should be done with caution due to the huge differences between the healthcare systems of countries. The study cost results may help public decision-makers in budget planning and as inputs for future cost-effectiveness studies about interventions regarding COVID-19.

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Section: Introductionmentioning

confidence: 99%

Direct medical cost of COVID-19 in children hospitalized at a tertiary referral healthcare center in Mexico City

Reyes-López,

Jimenez-Juárez,

Salinas-Escudero

et al. 2023

Front. Public Health

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“…Uma pesquisa relacionada aos gastos de internação por Sars-cov-2 em um hospital público de ensino, em abril e setembro de 2020, constatou que durante um período de 15 dias, o custeio médio de 64 internações detectáveis, sendo utilizada uma assistência em enfermaria e Unidade de Terapia Intensiva (UTI) foi de aproximadamente R$ 96.886. Ademais, esse valor inclui despesas como exames e do Núcleo Interno de Regulação (NIR), em que apenas 14% do custo é pago, resultando num déficit financeiro significativo(GLERIANO et al, 2020;VIEIRA; REIS, 2022).…”

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Public heath challenges in coping with COVID-19 pandemic in Brazil: an integrative review

Marinho

Marques²,

Fonseca³

et al. 2023

CLIUM

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Objective: to identify the main public health challenges facing the COVID-19 pandemic, addressing the main difficulties in this chaotic period for Brazilian health. Materials and Methods: This is an Integrative Review (IR) of a descriptive and exploratory nature. With the purpose of developing the guiding question, the domains of the PECo strategy were applied. A bibliographic survey was carried out in February 2023 in the databases: LILACS and MEDLINE via BVS, ColecionaSUS and Science Direct. DeCS and MeSH were selected as descriptors, in which both were linked by the Boolean AND operator. Thus, 10 scientific articles were selected to compose the final sample. Results and Discussion: During the COVID-19 pandemic, public safety authorities faced a number of challenges, including: misinformation, social inequality and economic impact. Final Considerations: It is believed that strengthening democracy and defending the SUS is one of the (perhaps only) ways to face the health crisis that the population is experiencing face to face.

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“…O custo médio por internação hospitalar em 11 estudos levantados (32,(65)(66)(67)(68)(69)(70)(71)(72)(73)(74) variou entre US$ 1.178 (69) e US$ 12.916 (73) . O resultado obtido em nosso estudo (US$ 12.637,42) (67,68,73) .…”

Section: Descrição E Comparação Dos Principais Resultadosunclassified

“…A confirmação laboratorial da infecção por SARS-CoV-2 também foi independentemente associada a custos de internação mais elevados em nosso estudo (custo médio de US$ 14.560) , sendo que valores até mais elevados (até US$ 17.178) (67) foram descritos. Cargas virais mais elevadas estão presentes em casos mais graves, o que pode explicar o custo maior para os casos onde, por uma maior carga viral, o teste para SARS-CoV-2 foi positivo (77,78) .…”

Section: Descrição E Comparação Dos Principais Resultadosunclassified

“…Este resultado pode ser decorrente da existência de protocolos de instituição de cuidados paliativos de forma estruturada, evitando a instituição de medidas fúteis para pacientes com baixa expectativa de sobrevida (80) . Em onze dos estudos disponíveis os principais componentes de custo foram descritos (33,66,67,(69)(70)(71)(72)74,75,81,82) , sendo que em 5 deles (33,66,67,81,82) o custo com o RH foi o componente mais representativo, variando de 37% (33,67) a 84,81% (67) do custo total, o que condiz com os resultados obtidos em nosso estudo, em que os custos com RH representaram a maior parte dos custos em todos os setores hospitalares (acima de 80%). A estimativa mais acurada da proporção do custo com RH está no estudo brasileiro de Cardoso et al (66) , que utilizou a metodologia de custeio baseado em atividade e tempo.…”

Section: Descrição E Comparação Dos Principais Resultadosunclassified

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Custos hospitalares relacionados ao tratamento de pacientes com COVID-19 e o impacto de fatores clínicos e demográficos.

Morais

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Custos hospitalares relacionados ao tratamento de pacientes com COVID-19 e o impacto de fatores clínicos e demográficos São Paulo 2023 ANNA MIETHKE MORAIS Custos hospitalares relacionados ao tratamento de pacientes com COVID-19 e o impacto de fatores clínicos e demográficos (Versão corrigida. Resolução CoPGr 6018/11, de 01 de novembro de 2011. A versão original está disponível na Biblioteca FMUSP)

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Cost Analysis of Hospitalization for COVID-19 in a Brazilian Public Teaching Hospital

Cited by 5 publications

References 11 publications

Direct medical cost of COVID-19 in children hospitalized at a tertiary referral healthcare center in Mexico City

Direct medical cost of COVID-19 in children hospitalized at a tertiary referral healthcare center in Mexico City

Public heath challenges in coping with COVID-19 pandemic in Brazil: an integrative review

Custos hospitalares relacionados ao tratamento de pacientes com COVID-19 e o impacto de fatores clínicos e demográficos.

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