Banca de DEFESA: DANILO REIS GOMES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : DANILO REIS GOMES
DATA : 28/07/2020
HORA: 14:30
LOCAL: NUTS – Núcleo Universitário de Telessaúde - HUPES/UFBA - Plataforma Conferência Web da RNP – O link 
TÍTULO:

Direct costs involved in renal support therapies in adult patients admitted to the intensive care unit.

PALAVRAS-CHAVES:

Direct costs. Dialysis. Intensive care unit. Adult patients.

PÁGINAS: 89
GRANDE ÁREA: Ciências da Saúde
ÁREA: Farmácia
RESUMO:

Health costs are very high. This growth scenario is observed both in the world and in Brazil. Health innovations cause a range of inclusions of new technologies that add costs to services, patients and / or society. These costs impact on several processes in the health management system, so understanding them is essential to assist in decision making in order to subsidize the allocation of resources. It is known that health services have a major challenge in cost management, especially in hospital institutions that concentrate flows which require high technological resources and that are proportionally linked to high values. Within these institutions are the intensive care units, some typical areas with complex therapies that require highly specialized teams and high investment processes. One of these therapies is renal support, which is frequent in inpatient units. These therapies need for equipment, supplies and specific staff to perform. This study aims to identify the direct costs involved in renal support therapies performed in adult patients admitted to an intensive care unit. The research is a study of measurement and valuation of direct costs. The study is observational and descriptive. The direct costs involved in renal support therapies used in adult patients admitted to an intensive care unit of a hospital in the city of Salvador / Bahia will be measured and analyzed. The study showed that 16.6% of patients admitted to the hospital's intensive care units underwent some type of renal support therapy. Three types of renal support therapy are performed in the ICUs, namely: Acute Hemodialysis (SLEED), Peritoneal Dialysis (PD) and Continuous Veno-Venous Hemodialysis (CVV). It was found that SLEED dialysis is the most common with total expense generated by direct costs in this therapy of R$ 111.0526, followed by Continuous Veno-Venous Hemodialysis with a total value of R$ 4,345.8688 and ending Dialysis peritoneal with a total value of R$ 224.4419. In the ICUs of the institution under study in 2019, 1000 SLEED therapy procedures were performed, which added up, in direct costs, R$ 111,052.60. Regarding peritoneal dialysis, there were 39 procedures in the year, with a total of R$ 8,753.23 and, finally, the most expensive, the CVV with 954 procedures, totaling R$ 4,140,815.97. The study concluded that the direct costs involved with renal support therapies performed in ICUs can be classified into medical materials and solutions for performing dialysis. In intermittent dialysis therapies (SLEED and PD), medical supplies are the ones that present the largest portion of the direct costs involved in therapies, unlike continuous dialysis (CVV) whose solutions necessary for performing dialysis represent 64.7% of direct costs. It is important to highlight that this study measured and valued only the direct costs, being necessary to obtain the total costs of renal support therapies to identify the indirect costs.

MEMBROS DA BANCA:
Externo à Instituição - ANTONIO CARLOS BEISL NOBLAT - UFBA
Externo ao Programa - 4446658 - DIMITRI GUSMAO FLORES
Presidente - 096.219.544-87 - LUCIA DE ARAUJO COSTA BEISL NOBLAT - UFRN
Externo ao Programa - 2556460 - PABLO DE MOURA SANTOS