Costos directos de la atención hospitalaria según coinfección en pacientes adultos con COVID-19

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Luis Guillermo Toro-Rendon
Diego Fernando Rojas-Gualdron
Ferney Alexander Rodriguez-Tobon
Carlos Andres Perez-Urrego
Uriel Palacios-Barahona

Resumen

Objetivo: Estimar los costos directos de la atención hospitalaria según coinfección en pacientes adultos con COVID-19. Materiales y métodos: Estudio de seguimiento retrospectivo de pacientes adultos hospitalizados por COVID-19 entre marzo y agosto de 2020 en los Hospitales Fundación San Vicente (Medellín y Rionegro, Colombia). Se incluyeron pacientes con diagnóstico de neumonía por SARS-Cov2 confirmado por RT-PCR. La muerte por cualquier causa y la duración de la estancia se consideraron variables de resultado. Los costos se estimaron en dólares estadounidenses de 2020. Resultados: Se analizaron 365 pacientes con una edad promedio de 60 años (RIC: 46-71), 40% mujeres. El 60,5% requirió unidad de cuidado intensivo (UCI). La mortalidad por todas las causas fue de 2,87 por 100 pacientes-día. Los pacientes ingresados a UCI que desarrollaron coinfección tuvieron una estancia media de 27,8 días (DE:17,1) y un costo medio de $23.935,7 (DE: $16.808,2); los pacientes ingresados a UCI que no desarrollaron coinfección tuvieron estancia media de 14,7 días (DE:8,6) y costo medio de $9.968,5 (DE: $8.054,0). Conclusión: Un alto porcentaje de pacientes requirió cuidados intensivos y hubo alta mortalidad por COVID-19. Además, se observó un mayor costo de atención para aquellos pacientes que desarrollaron coinfección y fueron ingresados a UCI.

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