Costs of hospital admissions due to COVID-19 in the federal capital of Brazil: a study based on hospital admission authorizations

Pereira, Ana Carolina Esteves da Silva; Gallo, Luciana G.; Oliveira, Ana Flávia de M.; Oliveira, Maria Regina F. de; Peixoto, Henry M.

doi:10.1016/j.bjid.2024.103744

Ana Carolina Esteves da Silva Pereira ^*⁎ Corresponding author. E-mail address: anacarolina.estevess@gmail.com (A.C.E.d.S. Pereira)

Conceptualization

Methodology

Formal analysis

Data curation

Investigation

Writing – original draft

Universidade de Brasília, Nacleo de Medicina Tropical, Programa de Pós-Graduação em Medicina Tropical, Brasília, DF, Brazil

https://orcid.org/0000-0001-9445-844X

Luciana G. Gallo

Conceptualization

Methodology

Investigation

Writing – original draft

Uniuersidade de Brasília, Núcleo de Medicina Tropical, Zika, Arbovirus and other Infections Cohort Studies (ZARICS), Brasília, DF, Brazil

https://orcid.org/0000-0001-8344-9951

Ana Flávia de M. Oliveira

Conceptualization

Methodology

Investigation

Writing – review & editing

Instituto Federal de Educação, Ciência e Tecnologia do Tocantins (IFTO), Tocantins, TO, Brazil

https://orcid.org/0000-0003-3210-1618

Maria Regina F. de Oliveira

Conceptualization

Methodology

Writing – review & editing

Project administration

Universidade de Brasília, Nacleo de Medicina Tropical, Programa de Pós-Graduação em Medicina Tropical, Brasília, DF, Brazil

Uniuersidade de Brasília, Núcleo de Medicina Tropical, Zika, Arbovirus and other Infections Cohort Studies (ZARICS), Brasília, DF, Brazil

Instituto de Aualiação de Tecnologia em Saúde (IATS), Porto Alegre, RS, Brazil

https://orcid.org/0000-0002-4995-2526

Henry M. Peixoto

Conceptualization

Methodology

Writing – review & editing

Project administration

Universidade de Brasília, Nacleo de Medicina Tropical, Programa de Pós-Graduação em Medicina Tropical, Brasília, DF, Brazil

Uniuersidade de Brasília, Núcleo de Medicina Tropical, Zika, Arbovirus and other Infections Cohort Studies (ZARICS), Brasília, DF, Brazil

Instituto de Aualiação de Tecnologia em Saúde (IATS), Porto Alegre, RS, Brazil

https://orcid.org/0000-0001-5982-8855

⁎ Corresponding author. E-mail address: anacarolina.estevess@gmail.com (A.C.E.d.S. Pereira)

Conflicts of interest

The authors declare no conflicts of interest.

Characteristics	n	%	Average	SD
Sex and Age Range
Male	362	58.43	61.22	16.39
0to19	–	–	–	–
20 to 29	9	0.57	–	–
30 to 39	31	2.83	–	–
40 to 49	46	5.40	–	–
50 to 59	73	10.55	–	–
60 to 69	85	14.38	–	–
70 to 79	68	13.35	–	–
80 and more	50	11.34	–	–
Female	260	41.57	60.64	15.90
0 to 19	1	0.05	–	–
20 to 29	10	0.70	–	–
30 to 39	14	1.33	–	–
40 to 49	37	4.37	–	–
50 to 59	56	8.00	–	–
60 to 69	60	10.11	–	–
70 to 79	47	9.13	–	–
80 and more	35	7.87	–	–
Age	622	-	60.97	16.19
Race/Color
Black/Brown	191	30.71	–	–
White	92	14.79	–	–
Yellow	57	9.16	–	–
Indigenous	2	0.32	–	–
No information	280	-	–	–
DF Health Region
Central	41	6.59	–	–
Central-southern	64	10.29	–	–
Eastern	55	8.84	–	–
Northern	76	12.22	–	–
Western	96	15.43	–	–
South-western	136	21.86	–	–
Southern	53	8.52	–	–
Surroundings	68	10.93	–	–
Other federal units	32	5.14	–	–
No information	1	0.16	–	–
HAA	1015	-	1.63	1.14
Procedures
Hospital Service	24,415	40.17	39.25	63.27
Professional service	36,362	59.83	58.46	69.80
Days of hospitalization
Total inpatient days	10,096	92.61	16.23^b b Average number of days of hospitalization per patient.	17.00
ICU days	806	7.39	1.30^b b Average number of days of hospitalization per patient.	5.14
Outcome
Discharges	394	63.34	–	–
Death	167	26.85	–	–
Transfer	52	8.36	–	–
Change ofprocedure/	9	1.45	–	–
administrative closure^c c Procedure change occurs due to complications that involve changes in conduct or medical specialty; Administrative closure is used when it is necessary to issue new HAA to the same patient during admissions.
Main ICD-10			–	–
Coronavirus infection of	485	77.97	–	–
unspecified
location
Other ICD-10	137	22.03	–	–

Procedures group^a aThe groups of procedures are divided into (i) Procedures with diagnostic purposes: imaging, pathological, cytopathological diagnostics, rapid tests, and collection of material, among others; (ii) Clinical procedures: appointments, consultations, physiotherapies, treatments in general, labor and delivery; (iii) Surgical procedures: surgeries in their various specialties, minor surgeries, dressings, drainages, debridement, accesses for dialysis, among others; (iv) Organ, tissue and cell transplantation: collection of tests for donation purposes, assessments of brain death, transplantation, and pre- and post-transplant follow-up; (v) Medicines: exceptional, strategic, hospital and urgent and specialized medicines for pharmaceutical care; (vi) Orthoses, prostheses, and special materials: inputs related or not to surgery, and (vii) Complementary healthcare actions: per diem rates, authorizations, and regulations. The procedure costs cover most of the expenses for necessary supplies and medications.	n	Hospital service costs (R$)	Professional service costs (R$)	Total costs (R$)	%	Median [IQR] (R$)
2020
Procedures with diagnostic purpose	793	68,818.49	–	68,818.49	4.47 %	136.41 [47.52–138.63]
Clinical procedures	17,105	411,985.58	91,358.75	503,344.33	32.67 %	46.77 [15.00–116.92]
Surgical procedures	3389	133,163.10	8654.26	141,817.36	9.21 %	212.77 [78.00–712.80]
Organ, tissue and cell transplantation	0	0	0	0	–	–
Medicines	40	24.00	–	24.00	0.00 %	12.00 [4.20–19.80]
Orthoses, prostheses, and special materials	13	204.64	–	204.64	0.01 %	8.92 [8.93–8.93]
Complementary healthcare actions	3,210	712,320.82	114,004.30	826,325.12	53.64%	144.00 [48.57–1372.80]
Total in 2020	24,550	1,326,516.63	214,017.31	1,540,533.94	100 %	70.00 [22.54–165.24]
2021
Procedures with diagnostic purpose	1,174	94,161.71	85.99	94,247.70	7.06 %	116.92 [39.94–138.63]
Clinical procedures	23,287	626,593.37	12,521.49	751,854.86	56.34%	49.04[15.00–195.38]
Surgical procedures	5,506	229,971.77	19,114.84	249,086.61	18.67 %	196.66 [78.00–562.64]
Organ, tissue and cell transplantation	78	42,147.99	16,053.84	58,201.83	4.36 %	382.62 [76.81–2487.00]
Medicines	278	1,534.62	-	1,534.62	0.12 %	213.12 [18.00–264.00]
Orthoses, prostheses, and special materials	31	10,143.95	^-	10,143.95	0.76 %	97.48 [8.93–237.02]
Complementary healthcare actions	5,873	153,295.38	16,072.78	169,368.16	12.69 %	80.00 [38.85–144.00]
Total in 2021	36,227	1,157,848.79	63,848.94	1,334,437.73	100 %	71.53 [23.38–194.40]
Overall total	60,777	2,484,365.42	277,866.25	2,874,971.67		70.00 [23.00–182.40]

[1] ⁎ Corresponding author. E-mail address: anacarolina.estevess@gmail.com (A.C.E.d.S. Pereira)

Brasil

Brasil

Costs of hospital admissions due to COVID-19 in the federal capital of Brazil: a study based on hospital admission authorizations

ABSTRACT