%0 Journal Article
%T Costos reales de tratamientos intensivos por paciente y d¨ªa cama Real daily costs of patients admitted to public intensive care units
%A Sandra Alvear
%A Jorge Canteros
%A Juan Jara
%A Patricia Rodr¨ªguez
%J Revista m¨¦dica de Chile
%D 2013
%I Sociedad M¨¦dica de Santiago
%X 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.
%K Costs and Costs Analysis
%K Economics
%K Health Care Costs
%K Intensive care
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200009