Palliative Care in Patients With COVID-19: Analysis of Costs of Hospitalization in Wards and Intensive Care Units
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 200
- 主要终点
- Direct costs (supplies)
研究概览
简要总结
The confrontation of COVID-19 foreshadowed a serious crisis of scarce health resources worldwide. To assist in this confrontation, the Palliative Care Scientific Technical Core of the Clinical Hospital, School of Medicine, Sao Paulo University (USP) elaborated a Triage Protocol for Palliative Care (PALI-COVID Tool) and it was possible to categorize the patients in three groups, according to the risk of death and needs of Palliative Care (PC), through the clinical evaluation of the patient that also directed them to the hospitalization resource according to their need (ward x ICU).
详细描述
The patients grouped as with higher risk of death and PC needs (green group) by PALI-COVID Tool were those with a profile of end-of-life, signs of clinical deterioration and risk of death on admission and thus indicated for admission to the COVID-19 Palliative Care Inpatient Unit, however some were admitted to the ICU. Objective: to analyze the direct costs of hospitalization of COVID-19 Palliative Care patients in Palliative Care Inpatient Unit and ICU screened as green group by the COVID-19 Screening Protocol developed in the institution. Methods: observational, cross-sectional and retrospective study of the service database of patients over 18 years of age screened as the green group (PALI-COVID). The variables to be investigated are related to sociodemographic and clinical data, length of stay and hospitalization scenarios, time to call for PC, outcome and costs.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •inpatients with severe forms of COVID-19 between April 08 and July 31, 2020
- •positive reverse-transcriptase polymerase chain reaction (RT-PCR).
- •patients with terminal illness and high clinical risk of death before COVID-
- •those admitted to an ICU or palliative care unit.
排除标准
- •absence of hospitalization cost data in the institution's electronic records
结局指标
主要结局
Direct costs (supplies)
时间窗: Hospitalizations between April 8th to July 31th, 2020
costs related to supplies, medications, diets, laboratory tests, imaging exams, and invasive procedures (such as mechanical ventilation, dialysis, and the use of vasoactive drugs). The costs will be calculate for the three groups and compared between them.
Cost minimization, and consequential cost analysis
时间窗: Hospitalizations between April 8th to July 31th, 2020
all the costs will be compared between them to do a cost-effectiveness analysis as the death rate will be probabily similar in the three groups.
Direct costs (working hours)
时间窗: Hospitalizations between April 8th to July 31th, 2020
costs referring to working hours of health professionals (physicians, nurses and physical therapists) in each unit normalized for the same number of beds. The costs will be calculate for the three groups and compared between them.
次要结局
- Clinical profile(Hospitalizations between April 8th to July 31th, 2020)
- Outcome of hospitalization(Hospitalizations between April 8th to July 31th, 2020)
- Sociodemographic profile(Hospitalizations between April 8th to July 31th, 2020)
- Time to call Palliative Care group(Hospitalizations between April 8th to July 31th, 2020)
- Life-sustaining procedures(Hospitalizations between April 8th to July 31th, 2020)
- Inpatient daily rates(Hospitalizations between April 8th to July 31th, 2020)
- Length of stay and inpatient settings(Hospitalizations between April 8th to July 31th, 2020)
研究者
Ricardo Tavares de Carvalho
Collaborator Professor, Palliative Care Departament Coordinator
University of Sao Paulo General Hospital