Analyze two IRCUs from the same health group located in hospitals of different levels of complexity.

In the two units, the budgetary chapters and variables care process are described to estimate the costs derived per day of stay. The difference between the actual cost calculated at IRCU and the estimated cost for ICU will be considered as cost avoided. In the high complex IRCU, the costs avoided analysis due to non-stay in ICU was carried out, GRD (6). 97.6% of patients were admitted to the IRCU with 2224 days of stay with a direct complexity profit related with GRD of 448.000?. This stay is equivalent to a hospital expense of 1,791,120.64 ? if the patient had been admitted to the ICU. The IRCU avoided cost were 543,000?. The total profit close to one million ?/year. The daily cost of bed at IRCU being 561?/day.  In the low-complexity IRCU GRD of 0.759. 64.9% patients were admitted  to the ICU with 735.1 days of stay. They are equivalent to a hospital expense of 512,489,667? if patient had been admitted to the ICU. The IRCU assumes its own expense of 377,371,463?, so the cost avoided per annual ICU stay is 135,118.204 ?/year. The daily cost of bed at IRCU is 220 ?/day. The efficiencies of the two units were determined by the sustained reduction in the mortality rate, re-entry rate, % of weaning?s.

IRCUs are cost-effective. Specialization and a multidisciplinary team are essential