Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital
| Autor: | Marcelo Moura Linhares, Ulysses Fagundes, Luis Ramiro Núñez Romero, José Luis Martins, José Osmar Medina Pestana, Fernando P. P. Vicentine, Adriano Miziara Gonzalez, Carlos Alberto Garcia Oliva, A.A. Salzedas-Netto |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Time Factors RD1-811 Patient demographics medicine.medical_treatment Pancreas transplantation Kidney transplant Statistics Nonparametric law.invention law medicine Humans Intensive care medicine Kidney transplantation health care economics and organizations business.industry Public health medicine.disease Intensive care unit Kidney Transplantation Hospitalization Transplantation Intensive Care Units Emergency medicine Cost analysis Costs and Cost Analysis Female Surgery Pancreas Transplantation business Brazil |
| Zdroj: | Acta Cirurgica Brasileira, Volume: 29, Issue: 11, Pages: 748-751, Published: NOV 2014 Acta Cirurgica Brasileira, Vol 29, Iss 11, Pp 748-751 (2014) Acta Cirúrgica Brasileira v.29 n.11 2014 Acta Cirúrgica Brasileira Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
| Popis: | PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS: Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in Sao Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS: Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION: Mortality did not affect costs, and supplies were the largest cost component. |
| Databáze: | OpenAIRE |
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