Cost of care in the ICU of a University Hospital in Bogotá D.C. Costos de atención en UCI de un Hospital universitario de Bogotá D.C.

Abstract

A retrospective descriptive study was carried out that evaluated the cost generated by the care of patients in a mixed-type ICU in a university hospital. The objective was to establish in detail each of the resources consumed taking the perspective of the service provider. We evaluated the clinical history of all patients treated during the period between October 1, 2003 and October 31, 2004, assigning them according to the primary diagnosis that justified the admission to the unit in five groups that we call diagnostic , related as follows: 1) cardiovascular medical, 2) surgical cardiovascular, 3) sepsis of medical management, 4) sepsis of surgical management and 5) trauma. The consumption of resources was determined from the sales invoice, but the applied value corresponds to the purchase price of the input. We included 190 patients from whom it was not possible to complete the financial information in 43, so that in the end the sample size was 147. In our study, the highest consumption of resources was found in those who were admitted for sepsis and in all the groups that had greater weight were the payment of the human resource and in the second instance the nutrition, behavior that follows the tendency described in articles written in countries with high technological development, in spite of the clear differences in the systems of attention in health. Conclusion: the distribution of the cost components of care in the ICU analyzed is in agreement with other foreign studies. The development in the information systems and the detailed cost knowledge constitute an indispensable tool for decision making. Abbreviations: ICU, intensive care unit; GDR, related diagnostic group; APACHE II, Acute physiological and chronic health evaluation; DE, standard deviation. EAPB, Companies that Manage Profit Plans.