ArticleBrazilian journal of cardiovascular surgery
Coronary Artery Bypass Graft Surgery Cost Coverage by the Brazilian Unified Health System (SUS).
Article in Brazilian journal of cardiovascular surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Direct Cardiovascular Event Costs: An International Perspective.PharmacoEconomics · 2019Pooled it
- The association of body composition assessment with hospital length of stay in off-pump coronary artery bypass patients.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2023Article
- Financial Impact of Deep Sternal Wound Infections After Coronary Surgery: A Microcosting Analysis.Brazilian journal of cardiovascular surgery · 2023Observational
- Polymeric nanoparticles in the diagnosis and treatment of myocardial infarction: Challenges and future prospects.Materials today. Bio · 2022Review
- Cardiovascular Statistics - Brazil 2021.Arquivos brasileiros de cardiologia · 2022Article
- The Challenge of Incorporating High-Cost Technologies: An Analysis of PCSK9 Inhibitors.Arquivos brasileiros de cardiologia · 2021Article
- Safe and effective protocol for discharge 3 days after cardiac surgery.Scientific reports · 2021Article
- Cardiovascular Statistics - Brazil 2020.Arquivos brasileiros de cardiologia · 2020Article
- Effects of Preoperative Risk Stratification on Direct In-hospital Costs for Chinese Patients with Coronary Artery Bypass Graft: A Single Center Analysis.Current medical science · 2018Article
- Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery.Colombia medica (Cali, Colombia)Observational
- Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry.Brazilian journal of cardiovascular surgeryArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCost management has been identified as an essential tool for the general control and evaluation of health organizations.
objectivesTo identify the coverage percentage of transferred funds from the Unified Health System for coronary artery bypass grafts in a philanthropic hospital having a consolidated costing system in the municipality of São Paulo.
methodsA quantitative, descriptive and cross-sectional research with information provided from a database composed of 1913 patients undergoing coronary artery bypass graft from March 13 to September 30, 2012, including isolated elective coronary artery bypass graft with the use of extracorporeal circulation. It excluded 551 (28.8%) patients, among them 76 (4.0%) deaths and 8 hospitalized patients, since the cost was compared according to the length of hospital stay. Therefore, the sample consisted of 1362 patients.
resultsThe average total cost per patient was $7,992.55. The average fund transfer by the Unified Health System was $3,450.73 (48.66%), resulting in a deficit of $4,541.82 (51.34%).
conclusionThe Unified Health System transfers covered 48.66% of the average total cost of hospitalization. Although the amount transferred increased with increasing costs, it was not proportional to the total cost, resulting in a percentage difference in revenue that was increasingly negative for each increase in cost and hospital stay. Those hospitalized for longer than seven days presented higher costs, older age, higher percentage of diabetics and chronic kidney disease patients and more postoperative complications.
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