التفاصيل البيبلوغرافية
| العنوان: |
Financial impact of Healthcare-associated infections (HAI) on Intensive Care Units (ICUs) estimated for fifty Brazilian University Hospitals, affiliated to the Unified Health System (SUS). |
| المؤلفون: |
Osme, S.F., Souza, J.M., Osme, I.T., Almeida, A.P.S., Arantes, A., Mendes-Rodrigues, C., Gontijo Filho, P.P., Ribas, R.M., Osme, Simone Franco, de Souza, Júlia Martins, Osme, Izabella Teixeira, Almeida, Ana Paula Silva, Arantes, Aglai, Mendes-Rodrigues, Clesnan, Gontijo Filho, Paulo Pinto, Ribas, Rosineide Marques |
| المصدر: |
Journal of Hospital Infection; Nov2021, Vol. 117, p96-102, 7p |
| مستخلص: |
Background: Studies show that Healthcare-associated infections (HAIs) represent a crucial issue in healthcare and can lead to substantial economic impacts in intensive care units (ICUs).Aim: To estimate direct costs associated with the most significant HAIs in 50 teaching hospitals in Brazil, affiliated to the Unified Health System (SUS).Methods: A Monte Carlo simulation model was designed to estimate the direct costs of HAIs; first, we established epidemiologic and economic parameters for each HAI based on a cohort of 949 critical patients (800 without HAI and 139 with); second, we used simulation based on three Brazilian prevalence scenarios of HAIs in ICU patients (29.1%, 51.2% and 61.6%) and third, we simulated the annual direct costs of HAIs in 50 university hospitals.Findings: Patients with HAIs had 16 additional days in the ICU, along with an extra direct cost of US $ 13.892, compared to those without HAIs. In one hypothetical scenario without HAI, the direct annual cost of hospital care for 26,649 inpatients in adult ICUs of 50 hospitals is US$ 112,924,421. There was an increase of approximately US$ 56M in a scenario with 29.1%, and an increase of US$147M in a scenario with 61.6%. The impact on the direct cost became significant starting at a 10% prevalence of HAIs, where US $ 2,824,817 is added for each 1% increase in prevalence.Conclusion: This analysis provides robust and updated estimates that HAI places a significant financial burden on the Brazilian healthcare system and contributes to a longer stay for inpatients. [ABSTRACT FROM AUTHOR] |
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