Análise de custos do tratamento de lesão por pressão em pacientes internados

Abstract

Pressure Injury (LPP) is an important public health problem, since the treatment and management of its complications raise the costs of health services. The nurse plays an important role in the care of a patient with LPP. This study aims to evaluate the direct cost of dressing materials in the treatment of LPP, and to characterize the population affected by the contingent during hospitalization. It also aims to estimate the average cost of treating LPP per patient. This is a cross-sectional, descriptive study with secondary data of direct cost analysis with dressing materials in the treatment of LPP. The data were collected via form, in the medical records of patients in a medium-sized hospital in Minas Gerais, with retrospective completion, covering sociodemographic, clinical and cost-related variables. A total of 60 charts were evaluated, the majority of the patients were female (63%), predominantly white skin color, 45% married, 47% retired, and 60% had underlying diseases related to the neurological system. Of the total, 50% died. Regarding the LPP treatment costs, we observed a six-month cost average of R $ 1,886.00 per patient, and a total cost of R $ 113,186.00. As for the cost of nursing professionals, the majority of patients (68%) had a maximum cost of R $ 1,000. The evaluation of population and costs indicated that the treatment of LPP entails high costs and burden the health institutions. Preventive measures, when possible, should be optimized, resulting in savings for the institution.