Cost of Nutritional Therapy in patients hospitalized by COVID-19 in Brazil: Ecological study

Authors

  • Helena de Rocha Santana Universidade Salvador (UNIFACS), Salvador, Bahia, Brazil
  • Lavinia Peixoto de Souza Universidade Salvador (UNIFACS), Salvador, Bahia, Brazil
  • Pedro Carlos Muniz de Figueiredo University Hospital Complex Professor Edgard Santos (HUPES), Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
  • Rodrigo Fernandes Weyll Pimentel University Hospital Complex Professor Edgard Santos (HUPES), Federal University of Bahia (UFBA), Salvador, Bahia, Brazil https://orcid.org/0000-0003-0101-0190

Keywords:

Coronavirus infections, Nutritional Therapy, Public Health Expenditures, Epidemiology

Abstract

Introduction: COVID-19 is an infection with a broad clinical spectrum that interferes with the nutritional status of the patient, impairing the immune response. Considering that malnutrition is a risk factor for worse outcomes in hospitalized patients, the approach for Nutritional Therapy (NT) in individuals with COVID-19 proved to be essential for recovery and good prognosis. In Brazil, investment in NT corresponds to an important portion of hospital bills. Objective: To describe the costs of NT in the treatment of patients hospitalized by COVID-19 in different regions of Brazil. Method: This is an ecological study. Data were collected from the Hospital Information System (SIH) of the Informatics Department of the Brazilian Unified Health System (DATASUS), referring to the costs with NT according to the regions of Brazil and modalities of the NT, from March to August 2020. Results: The costs of NT in Brazil were exposed in tables and graphs. It was observed that the highest costs with NT occurred between the months of May and July and these corresponded to 18% of the total costs with NT. The South and Southeast regions had the highest costs and the North region had the highest percentage of costs directed to the treatment of COVID-19. Regarding the modality of NT, the data revealed the preference for Enteral Nutritional Therapy (ENT) in relation to Parenteral one (PNT) in all months. Conclusion: It was concluded that there is a need for the expansion and prioritization of NT in Brazilian hospitals in the treatment of COVID-19.

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References

Oliveira EDS, Morais ACLN de. Covid-19: Uma Pandemia Que Alerta À População. Interam J Med Heal. 2020;3:1–7.

Macedo Souto X. COVID-19: aspectos gerais e implicações globais. Recital - Rev Educ Ciência e Tecnol Almenara/MG. 2020 Jun;2(1):12–36.

Sequeira R, Paixão C, Diniz A, Sousa P. Terapia Nutricional nos doentes com COVID-19 hospitalizados. Lisboa; 2020. p. 1–11.

Shi Y, Wang G, Cai X peng, Deng J wen, Zheng L, Zhu H hong, et al. An overview of COVID-19. Vol. 21, Journal of Zhejiang University: Science B. 2020. p. 343–60.

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of Autoimmunity. 2020 May 1;109:102433.

Barbosa JAG. Estado nutricional e o enfrentamento da COVID-19: reflexões para a prática de enfermagem. Brazilian J Heal Rev. 2020;3(3):6671–5.

Bottoni A, Hassan DZ, Nacarato A, Dos S, Garnes A, Bottoni A. Porque se preocupar com a desnutrição hospitalar?: revisão de literatura. J Heal Sci Inst. 2014;32(3):314–7.

Vásconez-García AE, Moyón-Constante MÁ. Recomendaciones nutricionales para pacientes hospitalizados con infección respiratoria grave (IRAG) sospechosa o confirmada por COVID-19. Rev Colomb Cirugía. 2020;35(2):244–9.

Schieferdecker MEM. Estado nutricional de pacientes em terapia nutricional enteral e a relação das necessidades energéticas com o valor energético total prescrito e recebido. Curitiba; 2005. p. 1–104.

De Lima AM, Gamallo SMM, Oliveira FLC. Desnutrição energético-proteica grave durante a hospitalização: Aspectos fisiopatológicos e terapêuticos. Vol. 28, Revista Paulista de Pediatria. 2010. p. 353–61.

Ferreira IKC. Terapia nutricional em Unidade de Terapia Intensiva. Rev Bras Ter Intensiva. 2007;19(1):90–7.

Lima SCVC. Terapia nutricional para prevenção, tratamento e reabilitação de indivíduos com COVID-19. Macedo HR de, editor. Natal: EDUFRN; 2020. 1–67 p.

Hyeda A, Costa É. Impacto da terapia nutricional no custo total das contas hospitalares. J Bras Econ da Saúde. 2017;9(1):122–7.

Hyeda A, Costa É. Terapia nutricional: custos conforme formulações e composições. J Bras Econ da Saúde. 2018;10(1):15–21.

Hyeda A, Costa ÉSM da. Análise econômica dos custos com terapia nutricional enteral e parenteral conforme doença e desfecho. Einstein (São Paulo). 2017;15(2):192–9.

Porsse AA, Souza KB De, Carvalho TS, Vale VDA. Impactos Econômicos da COVID-19 no Brasil. Paraná: NEDUR-UFPR; 2020. p. 4–21.

Johns Hopkins Coronavirus Resource Center. COVID-19 Map - Johns Hopkins Coronavirus Resource Center. Johns Hopkins Coronavirus Resource Center. 2020.

Fernández-Quintela A, Milton-Laskibar I, Trepiana J, Gómez-Zorita S, Kajarabille N, Léniz A, et al. Key Aspects in Nutritional Management of COVID-19 Patients. J Clin Med. 2020;9:1–24.

Dantas DL da S, Maiolo EG, Medeiros GB de J, Arruda LM, Albuquerque V de OL. COVID-19: conceito, etiologia e terapia nutricional. Rev Diálogos em Saúde. 2020;3(1):165–82.

Oliveira BMG, Coêlho LAV, Figueiredo PCM de, Pimentel RFW. Relationship between Expenses on Nutritional Therapy and Mortality Rate in Public Hospitals in Salvador, Bahia: An Ecological Study. Int J Nutrology. 2020;13(01):024–30.

Brasil. COVID19 Painel Coronavírus. Coronavirus - Brasil. 2020.

Bastos GAN, Azambuja AZ de, Polanczyk CA, Gräf DD, Zorzo IW, Maccari JG, et al. Características clínicas e preditores de ventilação mecânica em pacientes com COVID-19 hospitalizados no sul do país. Rev Bras Ter Intensivantensiva. 2020;1–6.

Santos JAF. Covid-19, causas fundamentais,classe social e território. Trab Educ e Saúde. 2020;18(3):1–7.

Mendonça FD, Rocha SS, Pinheiro DLP, Oliveira SV. Região Norte do Brasil e a pandemia de COVID-19: análise socioeconômica e epidemiológica. J Heal NPEPS. 2020;5(1):20–37.

Portela MC, Pereira CC de A, Lima SML, Andrade CLT de, Soares FRG, Martins M. Limites e possibilidades dos municípios brasileiros para o enfrentamento dos casos graves de COVID-19. Nota Técnica. 2020.

Souza CDF de, Paiva JPS de, Leal TC, Silva LF da, Santos LG. Evolução espaçotemporal da letalidade por COVID-19 no Brasil , 2020. J Bras Pneumol. 2020;46(4):1–3.

Gramlich L, Kichian K, Pinilla J, Rodych NJ, Dhaliwal R, Heyland DK. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature. Nutrition. 2004.

Côrtes JFF, Fernandes SL, Nogueira-Maduro IPDN, Basile Filho A, Suen VMM, Santos JE, et al. Terapia nutricional no paciente criticamente enfermo. Med Ribeirão Preto. 2003;36(2–4):394–8.

Tamiya H, Yasunaga H, Matusi H, Fushimi K, Akishita M, Ogawa S. Comparison of short-term mortality and morbidity between parenteral and enteral nutrition for adults without cancer: A propensity-matched analysis using a national inpatient database. Am J Clin Nutr. 2015;102(5):1222–8.

Aquino R de C de, Philippi ST. Identificação de fatores de risco de desnutrição em pacientes internados. Rev Assoc Med Bras. 2011;57(6):637–43.

Published

2020-12-24

How to Cite

Santana, H. de R., Souza, L. P. de, Figueiredo, P. C. M. de, & Pimentel, R. F. W. . (2020). Cost of Nutritional Therapy in patients hospitalized by COVID-19 in Brazil: Ecological study. Journal of Multiprofessional Health Research, 1(1), e01.3-e01.15. Retrieved from https://journalmhr.com/index.php/jmhr/article/view/4

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