Pns109 Direct Cost of a Maternal Child Care Program, and the Impact in the Intensive Care Unit Hospitalizations of Pregnancy Women and Newborn Infants, in a Health Insurer in Colombia.

Abstract

all CXR images were urgently acquired, and their average time was 43 minutes from order to availability. Before intervention, the median number of CXRs per patient per day was 0.38 (0.36 -0.40). After, this amount decreased to 0.30 (0.28 -0.32) [p= 0.0013], representing a 22% reduction on CXR request. Mean length of ICU stay before and after campaign was, respectively, 8.14 (7.79 -8.71) and 8.45 (8.24 -9.74) days [p= 0.35]. Mean mortality rate before and after intervention was, respectively, 18.45% (6 3.87%) and 21.58% (6 2.23%) [p = 0.12]. Conclusions: This was the first report of a Choosing Wisely initiative in a Brazilian ICU of a public hospital. Transition to a high value on-demand CXR strategy in ICUs is safe and particularly noteworthy in a low resource public health system.