Costs of healthcare-associated infections in an Intensive Care Unit

Rev Bras Enferm. 2021 Mar 24;74(1):e20200275. doi: 10.1590/0034-7167-2020-0275. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objectives: to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.

Methods: a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.

Results: a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).

Conclusions: hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.

MeSH terms

  • Brazil / epidemiology
  • Case-Control Studies
  • Hospital Costs*
  • Humans
  • Intensive Care Units*
  • Length of Stay
  • Retrospective Studies