Custo hospitalar de pacientes acometidos por varicela atendidos em hospital público de referência do estado de Minas Gerais no ano de 2012

Abstract

Chickenpox still has great economic and epidemiological importance. Between 1998 and 2007 it was registered in the SUS an annual average of 3,662 cases with the highest con- centration in the range age of 1 to 4 years and annual average cost of R$ 10,239,448.00 on an outpatient basis and R$ 1,660,919.00 in the hospital patients. The aim of this study was to analyze the hospital cost of treatment of varicella and its complications in a regional reference hospital unit. It is an exploratory, cross sectional, qualitative and quantitative study in children from 0 to 13 years old treated at Hospital Infantil João PauloII / FHEMIG between January and December 2012. It was analyzed frequency data and cost of treatment. The methodology used was the Absorption Costing, calculated from data in management reports generated from SIGH / FHEMIG. Authorizations Hospitalization who had as CID associated with main procedures related to the treatment of chickenpox were considered. In the analyzes of the data were used the TABWIN and EXCEL software 2007. It was enrolled a total of 164 children with chickenpox in 2012 envolving its various clinical forms with peak admissions in October, and 57.2% between 0 and 2 years, 32.1% between 3 and 5 years and 10.7% >5 years. Regarding vaccination cover- age only 1% of the internees were known vaccinated. Estafilococcia accounted for 75.6% of hospital reports, the most frequent complication. Regarding the costs of treatment, hospitalizations showed minimum average estimated cost of R$ 2,559.72 / patient and maximum of R$ 4,479.51 / patient. The study shown that children in early childhood were the most affected, represent- ing higher risk group for hospitalization. It is known that more severe forms are responsible for prolonged and more complex admissions, impacting in hospital costs. Regarding to transfers, the amounts received via hospital billing did not correspond to established costs. The adoption of vaccination programs reverberates in reducing the incidence and mortality of chickenpox, par- ticularly in preventing severe form. Brazilian vaccination program was implemented only in 2013 / 2 nd semester, and the impact on reducing their costs must be evalu- ated by further studies. Financial Support: FAPEMIG.