TY - JOUR T1 - Postoperative pulmonary complications are associated to higher ICU cost JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P287 AU - Bruna Peruzzo Rotta AU - Janete Maria da Silva AU - Caue Padovani AU - Leda Tomiko Yamada da Silveira AU - Jose Marcelo Mafra AU - Carolina Fu AU - Clarice Tanaka Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P287.abstract N2 - Background: Surgical procedures in abdominal area promote changes in pulmonary function leading to postoperative pulmonary complications (PPCs). Patients underwent invasive mechanical ventilation (IMV) may have higher incidence of PPCs which has been associated to higher hospitalization and costs.Objective: To estimate and compare intensive care unit (ICU) costs of patients submitted to abdominal surgery which presented PPCs (considered as ventilator associated pneumonia or nosocomial pneumonia) or not.Method: A transversal, cohort study was conducted in a public tertiary-teaching hospital, included 107 patients submitted to abdominal surgery, aged ≥18 years old, admitted to ICU due postoperative routine, whose underwent ≥24 hours of IMV. ICU costs were determined by Omega Score (OS). It comprises 47 diagnostic and therapeutic items pointed from 1 to 10, divided into three categories. Total OS is obtained by adding all points on the last day of the ICU. Costs in Euros (€) was calculated based on Sznajder and cols (1998) equation. All data were collected from patients records.View this table:Results: The most often PPC was nosocomial pneumonia (57%). PPCs were presented by younger patients (p<0.001). Patients with PPCs had higher OS (p<0.001) and higher median direct costs (€167,995 vs €45,644; p<0.001).Conclusion: Patients submitted to abdominal surgery which developed PPC, presented higher cost in the ICU. ER -