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Table 2 Impact on study hospital budget

From: Hospitalization budget impact during the COVID-19 pandemic in Spain

Cost in € 2020

Items

ER cohort*

SARS-CoV-2-positive cohort

SARS-CoV-2-negative cohort

Diagnostic tests

 RT-PCR for SARS-CoV-2

47,855.80

25,673.99

20,888,41

 Complete blood count

–

3745.74

1949,48

 Laboratory test†

19,075.58

10,745.74

5574.59

 Coagulation†

–

25,264.79

13,130.77

 Microbiology‡

–

169.44

1279.36

 Blood gas analysis

–

12,287.42

6606.97

 D dimer

–

8620.25

4255.46

 C-reactive protein

–

7481.50

3861.00

 Ferritin

–

5758.36

3173.56

 Procalcitonin

–

21,370.62

12,017.19

 Troponin

–

12,613.64

6835.14

 Interleukin 6

 

327.00

1918.40

 ICU tests

–

43,775.00

0.00

 Total test costs

66,931.38

177,359.34

81,490.33

Drugs

 Antivirals

–

10,034.86

691.36

 Corticosteroids

–

1007.80

192.20

 Tocilizumab

–

27,212.75

0.00

 Others, anti-inflammatory

–

5115.51

53.44

 Low-molecular-weight heparins

–

6272.06

1123.29

 Antibiotics§

–

2868.16

1795.92

 Mucolytics

–

383.74

81.40

 ACE inhibitors/ARBs

 

64.10

18.99

 Beta-blockers

–

29.21

8.95

 Calcium antagonists

–

19.88

4.38

 Alpha-blockers

–

19.08

6.84

 Diuretics

–

7.92

1.74

 Statins

–

19.76

5.37

 Proton pump inhibitors

–

285.22

87.36

 Analgesics

–

219.10

44.15

 Antithrombotics

–

0

195.52

 Drugs in ICU

–

30,519.30

0.00

 Total drug costs

0.00

84,078.45

4310.91

Imaging tests

 Chest X-ray, portable

36,533.58

73,108.77

26,880.06

 Computed tomography angiography

0.00

53,095.50

84,952.80

 Total imaging costs

36,533.58

126,204.27

111,832.86

Hospitalization

 Medical visits

–

5,933,775.37

1951,26

 Nursing hours

–

6,095,260.01

2004,36

 ER stays

166,492,90

–

–

 Hospitalization stays

–

1,570,847.58

350,648.36

 Medical visits, ICU

–

103,660.58

0.00

 Nursing hours, ICU

–

255,555.95

0.00

 ICU stays§§

–

464,198.60

0.00

 Total hospitalization costs

166,492,90

14,423,298.09

354,648.36

TOTAL

 TOTAL cost

269,957.86

14,810,940.15

552,282.36

 Cost / patient

307.47

58,310.79

1709.85

  1. ACE, angiotensin-converting enzyme; ARBs, angiotensin II receptor blockers; ICU, intensive care unit; RT-PCR, real-time polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2
  2. * Emergency room blood tests include complete blood count, biochemical profile, and coagulation test. Drugs are included as general care costs in the ER
  3. ** Includes glycemia, cholesterol, triglycerides, potassium, sodium, albumin, total protein, GPT, GOT, GGT, CPK, LDH, calcium, magnesium, phosphate, transferrin, creatinine, urea, and bilirubin
  4. † Includes: prothrombin time, APTT, and fibrinogen
  5. ‡ Includes blood culture, sputum culture, and tests for respiratory viruses (adenovirus, coronavirus, Middle Eastern Respiratory Syndrome, metapneumovirus, rhinovirus, enterovirus, influenza A, influenza B, parainfluenza, respiratory syncytial virus, Bordetella pertussis, Chlamydophila pneumoniae, Mycoplasma pneumoniae)
  6. § Includes amoxicillin/clavulanic acid, vancomycin, ceftriaxone, linezolid, levofloxacin, moxifloxacin, ciprofloxacin, piperacillin/tazobactam, imipenem, meropenem, ertapenem, daptomycin, and ceftoriden
  7. §§ In the ICU, daily blood test and blood gas analysis
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Health Economics Review

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