COVID-19 medical care direct costs during the first year of pandemic in a hospital converted for increasing bed capacity

Background: COVID-19 health emergency caused an increase in the demand for hospitalization and high costs for the health system. Objective: To estimate COVID-19 care direct costs from the perspective of the healthcare provider in a secondary care hospital that underwent conversion during the first year of health emergency.Material and methods: Retrospective, observational study. Information on quantities of goods and services was obtained from the SINOLAVE and CVOED platforms and from hospital administrative sources. Four cost groups were defined and estimated with 2021 unit prices in US dollars.Results: Mean hospital length of stay (n = 3,241 patients) was 10.8 +/- 8.2 days. Average cost of care per patient was USD 6,557 +/- 4,997. Respiratory therapy with assisted mechanical ventilation was used by 13% of patients.Conclusions: The costs of COVID-19 medical care represent a large amount of resources. Most part of the costs (95%) were derived from hospital stay, respiratory therapy without assisted mechanical ventilation and costs related to personal protective equipment, hygiene, infrastructure adaptation and payments to medical personnel.