What are the direct costs of sepsis treatment in Brazilian ICUs?

Amcb Sogayar,I Beer,M Kayath,N Akamine,J Safi,Rgr Cal,E Silva

doi:10.1186/cc3656

Abstract

Severe sepsis and septic shock are characterized by a high incidence, mortality and cost. Actually, sepsis is a major healthcare problem, upheld by the resources consumed to care for patients with this disease. Although we are aware of the high total hospital costs associated with sepsis treatment, even post discharge, the heterogeneity of the health care system (private or public hospitals) makes any estimate of costs directly attributable to sepsis a real challenge. Besides direct and indirect costs, 'hidden costs' like education, staff training and comorbidity-related issues can be significant in a major disease. Direct costs are defined mainly by the physicians and nursing fees, medicines, blood products and equipments used for monitoring and organ dysfunction support in sepsis. This simplified type of economic analysis can provide more reliable and interchangeable data.

Highlights

Neutrophils have been involved in sepsis-inducedIRAK-1 organ damage
Considering the diagnostic challenge related to acute coronary syndromes (ACS) when typical the techniques of PCR-restriction fragment length polymorphism electrocardiographic (EKG) findings are absent, we evaluated the for position –308 and PCR-amplification refractory mutational role of migration inhibitory factor (MIF), soluble CD40 ligand system for position –863
We evaluated the accuracy of Dd for diagnosing non-ST-segment elevation Table 2 myocardial infarction (NSTEMI)

Summary

Introduction

Neutrophils have been involved in sepsis-inducedIRAK-1 organ damage. Neutrophils could be directly activated by TLR binding ligands including LPS. In this study we examined the isolated portal hypertension (PH) role, without liver dysfunction, in an experimental BT model at a very acute phase of PH, in order to evaluate whether the infection in cirrhotic patients might be related only to the increased portal blood pressure factor with its consequential intestinal venous congestion. An acute increase in pulmonary pressure and resistance may be responsible for the observed increment in ∆Pp. Septic patients frequently present with severe acid– base alterations, and the nature is not completely elucidated. Infectious complications are frequent in patients admitted to ICUs, and great effort is made in order to identify possible infecting microorganisms In this setting, multiple blood cultures are usually collected, their true value is still to be ascertained. Our goal is to develop a model simulating liver injury produced by trocar insertion

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