Direct costs of treating COVID-19 Cases Admitted to a Tertiary Hospital in Ankara, Türkiye


GÖKLER M. E., ORHUN N. M., Akduman D., yenibertiz D., Şengezer T.

Ethiopian Journal of Health Development, vol.36, no.4, 2022 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.20372/ejhd.v36i4.5566
  • Journal Name: Ethiopian Journal of Health Development
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, IBZ Online, CAB Abstracts, Veterinary Science Database
  • Keywords: Covid-19, Direct cost, Pandemic, Treatment cost, Türkiye
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

Objective: The aim of the study is to estimate the direct treatment cost of COVID-19 cases in ICU and Ward, and the average length of stay during the pandemic period. Material and methods: The cost study was carried out from the provider’s perspective in a tertiary hospital in Ankara. Only direct costs during hospitalization were analyzed excluding medication costs. The Average Length of Stay (LOS) was determined. The cost was estimated for COVID-19 patients that were admitted to the ward and intensive care unit (ICU) by gender and age group. Patient medical records were reviewed retrospectively in a period of 1 month (April 1, 2020 - April 30, 2020) for clinical data and patient hospital bills were used for costing data. Result: A total of 525 COVID-19 patients were admitted to the hospital. Slightly more than half of the COVID-19 patients were male (52.1% overall) and the mean age was 47.5±18.6 years for males and 51.0±19.4 for females. Overall, 4.4% of COVID-19 cases were among children and adolescents (≥18 years), 72.8% were among adults (19–64 years), and 22.9% were among elderly adults (≥ 65 years). The direct cost estimated for COVID-19 ranged from 3,781.77 Turkish liras (TL) to 32,494.98 TL. The average LOS for ICU TL patients and ward patients were 4, 5, and 6 days, respectively. Conclusion: The cost of treating COVID-19 in ICU is high compared to the treatment costs in the ward. The average length of stay for COVID-19 cases in ICU was longer among elderly patients