Impacto financeiro das infecções nosocomiais em unidades de terapia intensiva em hospital filantrópico de Minas Gerais

Abstract

ObjectiveInfections in intensive care units are often associated with a high morbidity and mortality in addition to high costs. An analysis of these aspects can assist in optimizing the allocation of relevant financial resources. MethodsThis retrospective study analyzed the hospital administration and quality in intensive care medical databases [Sistema de Gestão Hospitalar (SGH)] and RM Janus®. A cost analysis was performed by evaluating the medical products and materials used in direct medical care. The costs are reported in the Brazilian national currency (Real). The cost and length of stay analyses were performed for all the costs studied. The median was used to determine the costs involved. Costs were also adjusted by the patients' length of stay in the intensive care unit. ResultsIn total, 974 individuals were analyzed, of which 51% were male, and the mean age was 57±18.24 years. There were 87 patients (8.9%) identified who had nosocomial infections associated with the intensive care unit. The median cost per admission and the length of stay for all the patients sampled were R$1.257,53 and 3 days, respectively. Compared to the patients without an infection, the patients with an infection had longer hospital stays (15 [11-25] versus 3 [2-6] days, p<0.01), increased costs per patient in the intensive care unit (median R$9.763,78 [5445.64 - 18,007.90] versus R$1.093,94 [416.14 - 2755.90], p<0.01) and increased costs per day of hospitalization in the intensive care unit (R$618,00 [407.81 - 838.69] versus R$359,00 [174.59 - 719.12], p<0.01). ConclusionNosocomial infections associated with the intensive care unit were determinants of increased costs and longer hospital stays. However, the study design did not allow us to evaluate specific aspects of cause and effect.

Surgical site infection and its risk factors in colon surgeries

“…A study aimed to retrospectively evaluate the economic impact of nosocomial infections acquired in the ICU noted that patients with infection, especially SSI and catheter-associated bloodstream infections, presented higher costs in the ICU (28) . In addition to antimicrobials costs, other resources related to life support in these patients may account for higher expenses, implying on large economic impact of infections acquired in ICUs in hospitals of the SUS (Brazilian Unified Health system).…”

“…In addition to direct expenses in health care, the increased length of stay in the ICU may have a significant impact in terms of public health, since this is a major limiting to intensive care access. National data related to expenses with materials and drugs in this patient group are scarce (28) .…”

Diagnósticos de enfermagem e modelo adaptativo de roy: análise em pacientes críticos

“…Cerca de 10 % dessa clientela é afetada por infecções nosocomiais. Essas infecções são responsáveis pela ocorrência de desfechos negativos como morbimortalidade, aumento do tempo de internação, aumento das chances de reinternação e consequente aumento dos gastos hospitalares, em contextos nacionais e internacionais (9)(10)(11)(12)(13).…”

Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

“…A ocorrência de infecções relacionadas à assistência à saúdeem pacientes internados em unidade de terapia intensiva contribui para o aumento no tempo de internação, maior mortalidade e aumento de gastos com medicamentos e materiais (9)(10)(11) . Essas complicações infecciosas podem representar ônus ao paciente, expresso no aumento da carga de doença e no estabelecimento de quadro séptico associado (12) .…”