Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre

Detalhes bibliográficos
Autor(a) principal: Seringa, Joana
Data de Publicação: 2022
Outros Autores: Pedreiras, Sérgio, Freitas, Maria João, De Matos, Rosa Valente, Rocha, João, Millett, Christopher, Santana, Rui
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/140996
Resumo: Publisher Copyright: © 2022 The Author(s).
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spelling Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centreCustos diretos de internamento por Covid-19 num centro hospitalar universitário PortuguêsCOVID-19Health expendituresHealth services researchInpatient costsHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingPublisher Copyright: © 2022 The Author(s).Background: The COVID-19 pandemic has posed greater financial pressure on health systems and institutions that had to respond to the specific needs of COVID-19 patients while ensuring the safety of the diagnosis and treatment of all patients and healthcare professionals. To assess the financial impact of COVID-19 patients admitted to hospitals, we have characterized the cost of COVID-19 admissions, using inpatient data from a Portuguese Tertiary Care University Centre. Methods: We analysed inpatient data from adult patients diagnosed with COVID-19 who were admitted between March 1, 2020 and May 31, 2020. Admissions were eligible if the ICD-10-CM principal diagnosis was coded U07.1. We excluded admissions from patients under 18 years old, admissions with incomplete records, admissions from patients who had been transferred to or from other hospitals or those whose inpatient stay was under 24 h. Pregnancy, childbirth, and puerperium admissions were also excluded, as well as admissions from patients who had undergone surgery. Results: We identified 223 admissions of patients diagnosed with COVID-19. Most were men (64.1%) and aged 45-64 years (30.5%). Around 13.0% of patients were admitted to intensive care units and 9.9% died in hospital. The average length of hospital stay was 12.7 days (SD = 10.2) and the average estimated cost per admission was EUR 8,177 (SD = 11,534), which represents more than triple the inpatient base price (EUR 2,386). Human resources accounted for the highest proportion of the total costs per admission (50.8%). About 92.4% of the admissions were assigned to Diagnosis Related Group (DRG) 723, whose inpatient price is lower than COVID- 19 inpatient costs for all degrees of severity. Conclusion: COVID-19 admissions represent a substantial financial burden for the Portuguese NHS. For each COVID-19 hospitalized patient it would have been possible to treat three other hospitalized patients. Also, the price set for DRG 723 is not adjusted to the cost of COVID-19 patients. These findings highlight the need for additional financial resources for the health system and, in particular, for hospitals that have treated high volumes of hospitalized patients diagnosed with COVID-19.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNSeringa, JoanaPedreiras, SérgioFreitas, Maria JoãoDe Matos, Rosa ValenteRocha, JoãoMillett, ChristopherSantana, Rui2022-06-28T22:27:57Z2022-04-192022-04-19T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article9application/pdfhttp://hdl.handle.net/10362/1409962504-3137PURE: 45002936https://doi.org/10.1159/000524368info:eu-repo/semantics/openAccessporreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:18:15Zoai:run.unl.pt:10362/140996Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:49:53.000620Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
Custos diretos de internamento por Covid-19 num centro hospitalar universitário Português
title Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
spellingShingle Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
Seringa, Joana
COVID-19
Health expenditures
Health services research
Inpatient costs
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
title_full Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
title_fullStr Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
title_full_unstemmed Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
title_sort Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
author Seringa, Joana
author_facet Seringa, Joana
Pedreiras, Sérgio
Freitas, Maria João
De Matos, Rosa Valente
Rocha, João
Millett, Christopher
Santana, Rui
author_role author
author2 Pedreiras, Sérgio
Freitas, Maria João
De Matos, Rosa Valente
Rocha, João
Millett, Christopher
Santana, Rui
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Seringa, Joana
Pedreiras, Sérgio
Freitas, Maria João
De Matos, Rosa Valente
Rocha, João
Millett, Christopher
Santana, Rui
dc.subject.por.fl_str_mv COVID-19
Health expenditures
Health services research
Inpatient costs
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic COVID-19
Health expenditures
Health services research
Inpatient costs
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2022 The Author(s).
publishDate 2022
dc.date.none.fl_str_mv 2022-06-28T22:27:57Z
2022-04-19
2022-04-19T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/140996
url http://hdl.handle.net/10362/140996
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv 2504-3137
PURE: 45002936
https://doi.org/10.1159/000524368
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 9
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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