Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200302 |
Resumo: | Abstract OBJECTIVE To estimate the cost of hospitalization of patients with severe sepsis or septic shock admitted or diagnosed in the Urgent and Emergency sector at a university hospital and followed until the clinical outcome. METHOD An epidemiological, prospective, observational study conducted in a public hospital in southern Brazil for the period of one year (August 2013 to August 2014). Sepsis notification forms, medical records and data of the cost sector were used for the collection of clinical and epidemiological data. RESULTS The sample comprised 95 patients, resulting in a total high cost of hospitalization (R$ 3,692,421.00), and an average of R$ 38,867.60 per patient. Over half of the total value of the treatment of sepsis (R$ 2,215,773.50) was assigned to patients who progressed to death (59.0%). The higher costs were related to discharge, diagnosis of severe sepsis, the pulmonary focus of infection and the age group of up to 59 years. CONCLUSION The high cost of the treatment of sepsis justifies investments in training actions and institution of protocols that can direct preventive actions, and optimize diagnosis and treatment in infected and septic patients. |
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Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalizationSepsisCross InfectionCosts and Cost AnalysisHospital CostsAbstract OBJECTIVE To estimate the cost of hospitalization of patients with severe sepsis or septic shock admitted or diagnosed in the Urgent and Emergency sector at a university hospital and followed until the clinical outcome. METHOD An epidemiological, prospective, observational study conducted in a public hospital in southern Brazil for the period of one year (August 2013 to August 2014). Sepsis notification forms, medical records and data of the cost sector were used for the collection of clinical and epidemiological data. RESULTS The sample comprised 95 patients, resulting in a total high cost of hospitalization (R$ 3,692,421.00), and an average of R$ 38,867.60 per patient. Over half of the total value of the treatment of sepsis (R$ 2,215,773.50) was assigned to patients who progressed to death (59.0%). The higher costs were related to discharge, diagnosis of severe sepsis, the pulmonary focus of infection and the age group of up to 59 years. CONCLUSION The high cost of the treatment of sepsis justifies investments in training actions and institution of protocols that can direct preventive actions, and optimize diagnosis and treatment in infected and septic patients.Universidade de São Paulo, Escola de Enfermagem2016-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200302Revista da Escola de Enfermagem da USP v.50 n.2 2016reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/S0080-623420160000200017info:eu-repo/semantics/openAccessBarreto,Maynara Fernanda CarvalhoDellaroza,Mara Solange GomesKerbauy,GilselenaGrion,Cintia Magalhães Carvalhoeng2016-06-27T00:00:00Zoai:scielo:S0080-62342016000200302Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2016-06-27T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
title |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
spellingShingle |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization Barreto,Maynara Fernanda Carvalho Sepsis Cross Infection Costs and Cost Analysis Hospital Costs |
title_short |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
title_full |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
title_fullStr |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
title_full_unstemmed |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
title_sort |
Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization |
author |
Barreto,Maynara Fernanda Carvalho |
author_facet |
Barreto,Maynara Fernanda Carvalho Dellaroza,Mara Solange Gomes Kerbauy,Gilselena Grion,Cintia Magalhães Carvalho |
author_role |
author |
author2 |
Dellaroza,Mara Solange Gomes Kerbauy,Gilselena Grion,Cintia Magalhães Carvalho |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Barreto,Maynara Fernanda Carvalho Dellaroza,Mara Solange Gomes Kerbauy,Gilselena Grion,Cintia Magalhães Carvalho |
dc.subject.por.fl_str_mv |
Sepsis Cross Infection Costs and Cost Analysis Hospital Costs |
topic |
Sepsis Cross Infection Costs and Cost Analysis Hospital Costs |
description |
Abstract OBJECTIVE To estimate the cost of hospitalization of patients with severe sepsis or septic shock admitted or diagnosed in the Urgent and Emergency sector at a university hospital and followed until the clinical outcome. METHOD An epidemiological, prospective, observational study conducted in a public hospital in southern Brazil for the period of one year (August 2013 to August 2014). Sepsis notification forms, medical records and data of the cost sector were used for the collection of clinical and epidemiological data. RESULTS The sample comprised 95 patients, resulting in a total high cost of hospitalization (R$ 3,692,421.00), and an average of R$ 38,867.60 per patient. Over half of the total value of the treatment of sepsis (R$ 2,215,773.50) was assigned to patients who progressed to death (59.0%). The higher costs were related to discharge, diagnosis of severe sepsis, the pulmonary focus of infection and the age group of up to 59 years. CONCLUSION The high cost of the treatment of sepsis justifies investments in training actions and institution of protocols that can direct preventive actions, and optimize diagnosis and treatment in infected and septic patients. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200302 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200302 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0080-623420160000200017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.50 n.2 2016 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936538215940096 |