Expenditure survey on continued veno-venous hemodialysis procedure in the intensive care unit

Lígia Maria Dal Secco,Valéria Castilho

doi:10.1590/s0104-11692007000600013

Lígia Maria Dal Secco, Valéria Castilho

Open Access

https://doi.org/10.1590/s0104-11692007000600013

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Abstract

This study aimed to characterize patients submitted to dialytic treatment with CVVHD in ICUs; monitor procedure time duration; estimate nurses' labor wages and; estimate the direct procedures mean costs. The study was developed in a public teaching hospital located in São Paulo, Brazil. A total of 93 procedures performed in 50 patients composed the sample. The results showed the predominance of male patients (62%); mean age was 60.8 years old; ICU hospitalization time was 19.2 days; 86% of the patients died; 76% of the patients presented acute renal insufficiency and, mean procedure time per patient was 1.9. The mean procedure duration was 26.6 hours. The mean cost of nurses' wages were R$ 592.04 which represented 28.7% of the total cost. The mean total expenditure was R$ 2,065.36 ranging from R$ 733.65 to R$ 6,994.18.

Highlights

Intensive Care Units (ICU) have been appointed as one of the most costly places in hospital organizations
This research aimed to characterize the clientele submitted to dialysis treatment with continuous venovenous hemodialysis (CVVHD) in ICUs; estimate the length of the procedure; calculate the cost of nurses’ work and estimate the direct mean cost of the procedures
It was determined by the Institution that the dialysis procedures should be performed by Nurses from the Units, after training and with constant supervision by the Dialysis Nurse

Summary

Introduction

Intensive Care Units (ICU) have been appointed as one of the most costly places in hospital organizations. Dialysis treatment has developed greatly, due to scientific and technological advances, and it has happened more and more frequently at ICUs. Since the advent of dialysis treatments and ICUs, a steady increase in the severity of baseline diseases has been observed, which present Acute Renal Failure (ARF) as an associated complication[1]. ARF, which affects patients hospitalized at ICUs, presents a particular mortality and epidemiological profile[2]. The Brazilian Society of Nephrology (BSN) informs that these patients’ mortality is close to 50% and that the condition of current patients with ARF is more severe than formerly[3]

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