A súlyos szepszis gyakorisága és kezelé sének költsége intenzív osztályon

Translated title of the contribution: The incidence and cost of severe sepsis in intensive care units

Ákos Csomós, Gábor Hoffer, B. Fülesdi, Endre Ludwig

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: The aim of the study was to determine the incidence and mortality of sepsis and to analyse the direct costs of severe sepsis treated in intensive care unit in Hungary. Method: National data on sepsis demography, incidence and mortality were collected using the database of Hungarian Health Fund, Year 2001. The cost of treating severe sepsis was calculated by retrospective data collection of resource use in 6 ICUs. Personnel costs were calculated from annual salary report and the indirect costs were estimated by the financial director of each participating hospital. To validate retrospective data, the ICUs organised a prospective cost-analysis during one month period. Results: There were 2659 patients reported with septic DRG code in Hungary. The mortality of sepsis is 42.7%, the average lenght of stay is 14.5 days (SD-17.4). Patients discharged from ICU after sepsis remained in hospital for further 18.1 days (SD-18). The mortality of severe sepsis in the pilot sample (n = 70) was found to be 64.2%, with average lenght of stay 15.5 (SD-10.2). The average daily ICU cost of severe sepsis is HUF 107 200 (429 Euro). Consumables account for 68% of total cost, the personnel 26.3% and clinical support 5.7%. Conclusion: The mortality of severe sepsis is high and the cost of treating severe sepsis is four times more then the average ICU daily cost. To take into account the much longer length of stay (15.5 vs. 5 day), annual cost of septic patients is HUF 4.4 billions (1 140 000 Euro) in Hungary.

Original languageHungarian
Pages (from-to)1543-1547
Number of pages5
JournalOrvosi Hetilap
Volume146
Issue number29
Publication statusPublished - 2005

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Intensive Care Units
Sepsis
Costs and Cost Analysis
Incidence
Hungary
Mortality
Annual Reports
Diagnosis-Related Groups
Salaries and Fringe Benefits
Length of Stay
Demography
Databases
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A súlyos szepszis gyakorisága és kezelé sének költsége intenzív osztályon. / Csomós, Ákos; Hoffer, Gábor; Fülesdi, B.; Ludwig, Endre.

In: Orvosi Hetilap, Vol. 146, No. 29, 2005, p. 1543-1547.

Research output: Contribution to journalArticle

Csomós, Á, Hoffer, G, Fülesdi, B & Ludwig, E 2005, 'A súlyos szepszis gyakorisága és kezelé sének költsége intenzív osztályon', Orvosi Hetilap, vol. 146, no. 29, pp. 1543-1547.
Csomós, Ákos ; Hoffer, Gábor ; Fülesdi, B. ; Ludwig, Endre. / A súlyos szepszis gyakorisága és kezelé sének költsége intenzív osztályon. In: Orvosi Hetilap. 2005 ; Vol. 146, No. 29. pp. 1543-1547.
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abstract = "Objectives: The aim of the study was to determine the incidence and mortality of sepsis and to analyse the direct costs of severe sepsis treated in intensive care unit in Hungary. Method: National data on sepsis demography, incidence and mortality were collected using the database of Hungarian Health Fund, Year 2001. The cost of treating severe sepsis was calculated by retrospective data collection of resource use in 6 ICUs. Personnel costs were calculated from annual salary report and the indirect costs were estimated by the financial director of each participating hospital. To validate retrospective data, the ICUs organised a prospective cost-analysis during one month period. Results: There were 2659 patients reported with septic DRG code in Hungary. The mortality of sepsis is 42.7{\%}, the average lenght of stay is 14.5 days (SD-17.4). Patients discharged from ICU after sepsis remained in hospital for further 18.1 days (SD-18). The mortality of severe sepsis in the pilot sample (n = 70) was found to be 64.2{\%}, with average lenght of stay 15.5 (SD-10.2). The average daily ICU cost of severe sepsis is HUF 107 200 (429 Euro). Consumables account for 68{\%} of total cost, the personnel 26.3{\%} and clinical support 5.7{\%}. Conclusion: The mortality of severe sepsis is high and the cost of treating severe sepsis is four times more then the average ICU daily cost. To take into account the much longer length of stay (15.5 vs. 5 day), annual cost of septic patients is HUF 4.4 billions (1 140 000 Euro) in Hungary.",
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