Ronan Kelly
Retired 2020
Re: Brazil Dengue 2014
Direct Costs of Dengue Hospitalization in Brazil: Public and Private Health Care Systems and Use of WHO Guidelines
Alessandra A. Vieira Machado, Anderson Oliveira Estevan, Antonio Sales, Kelly Cristina da Silva Brabes, J?lio Croda, F?bio Juliano Negr?o mail
Published: September 04, 2014DOI: 10.1371/journal.pntd.0003104
Abstract
Background
Dengue, an arboviral disease, is a public health problem in tropical and subtropical regions worldwide. In Brazil, epidemics have become increasingly important, with increases in the number of hospitalizations and the costs associated with the disease. This study aimed to describe the direct costs of hospitalized dengue cases, the financial impact of admissions and the use of blood products where current protocols for disease management were not followed.
Methods and Results
To analyze the direct costs of dengue illness and platelet transfusion in Brazil based on the World Health Organization (WHO) guidelines, we conducted a retrospective cross-sectional census study on hospitalized dengue patients in the public and private Brazilian health systems in Dourados City, Mato Grosso do Sul State, Brazil. The analysis involved cases that occurred from January through December during the 2010 outbreak. In total, we examined 8,226 mandatorily reported suspected dengue cases involving 507 hospitalized patients. The final sample comprised 288 laboratory-confirmed dengue patients, who accounted for 56.8% of all hospitalized cases. The overall cost of the hospitalized dengue cases was US $210,084.30, in 2010, which corresponded to 2.5% of the gross domestic product per capita in Dourados that year. In 35.2% of cases, blood products were used in patients who did not meet the blood transfusion criteria. The overall median hospitalization cost was higher (p = 0.002) in the group that received blood products (US $1,622.40) compared with the group that did not receive blood products (US $550.20).
Conclusion
The comparative costs between the public and the private health systems show that both the hospitalization of and platelet transfusion in patients who do not meet the WHO and Brazilian dengue guidelines increase the direct costs, but not the quality, of health care.
...
full paper at; http://www.plosntds.org/article/inf...S+Neglected+Tropical+Diseases+-+New+Articles)
According to the latest PAHO Dengue in the Americas Report, Brazil has reported 690,000 suspected & confirmed cases, 431 severe cases and 261 fatalities to week 29 of this year. http://www.flutrackers.com/forum/showthread.php?t=218439
Direct Costs of Dengue Hospitalization in Brazil: Public and Private Health Care Systems and Use of WHO Guidelines
Alessandra A. Vieira Machado, Anderson Oliveira Estevan, Antonio Sales, Kelly Cristina da Silva Brabes, J?lio Croda, F?bio Juliano Negr?o mail
Published: September 04, 2014DOI: 10.1371/journal.pntd.0003104
Abstract
Background
Dengue, an arboviral disease, is a public health problem in tropical and subtropical regions worldwide. In Brazil, epidemics have become increasingly important, with increases in the number of hospitalizations and the costs associated with the disease. This study aimed to describe the direct costs of hospitalized dengue cases, the financial impact of admissions and the use of blood products where current protocols for disease management were not followed.
Methods and Results
To analyze the direct costs of dengue illness and platelet transfusion in Brazil based on the World Health Organization (WHO) guidelines, we conducted a retrospective cross-sectional census study on hospitalized dengue patients in the public and private Brazilian health systems in Dourados City, Mato Grosso do Sul State, Brazil. The analysis involved cases that occurred from January through December during the 2010 outbreak. In total, we examined 8,226 mandatorily reported suspected dengue cases involving 507 hospitalized patients. The final sample comprised 288 laboratory-confirmed dengue patients, who accounted for 56.8% of all hospitalized cases. The overall cost of the hospitalized dengue cases was US $210,084.30, in 2010, which corresponded to 2.5% of the gross domestic product per capita in Dourados that year. In 35.2% of cases, blood products were used in patients who did not meet the blood transfusion criteria. The overall median hospitalization cost was higher (p = 0.002) in the group that received blood products (US $1,622.40) compared with the group that did not receive blood products (US $550.20).
Conclusion
The comparative costs between the public and the private health systems show that both the hospitalization of and platelet transfusion in patients who do not meet the WHO and Brazilian dengue guidelines increase the direct costs, but not the quality, of health care.
...
full paper at; http://www.plosntds.org/article/inf...S+Neglected+Tropical+Diseases+-+New+Articles)
According to the latest PAHO Dengue in the Americas Report, Brazil has reported 690,000 suspected & confirmed cases, 431 severe cases and 261 fatalities to week 29 of this year. http://www.flutrackers.com/forum/showthread.php?t=218439