tetano
Editor, Senior Moderator
J Infect. 2019 May 30. pii: S0163-4453(19)30180-X. doi: 10.1016/j.jinf.2019.05.021. [Epub ahead of print]
[h=1]Costs associated with acute respiratory illness and select virus infections in hospitalized children, El Salvador and Panama, 2012-2013.[/h] Jara JH[SUP]1[/SUP], Azziz-Baumgartner E[SUP]2[/SUP], De Leon T[SUP]3[/SUP], Luciani K[SUP]4[/SUP], Brizuela YS[SUP]5[/SUP], Estripeaut D[SUP]6[/SUP], Castillo JM[SUP]7[/SUP], Barahona A[SUP]3[/SUP], Corro M[SUP]4[/SUP], Cazares R[SUP]5[/SUP], Vergara O[SUP]6[/SUP], Rauda R[SUP]7[/SUP], Rodr?guez R[SUP]8[/SUP], Franco D[SUP]8[/SUP], Widdowson MA[SUP]2[/SUP], Clar? W[SUP]2[/SUP], Alvis-Estrada JP[SUP]9[/SUP], Murray CT[SUP]9[/SUP], Ortega-Sanchez IR[SUP]10[/SUP], Dawood FS[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND AND OBJECTIVES:[/h] Although acute respiratory illness (ARI) is a leading cause of hospitalization among young children, few data are available about cost of hospitalization in middle-income countries. We estimated direct and indirect costs associated with severe ARI resulting in hospitalization among children aged <10 years in El Salvador and Panama through the societal perspective.
[h=4]METHODS:[/h] During 2012 and 2013, we surveyed caregivers of children hospitalized with ARI about their direct medical (i.e. outpatient consultation, medications, hospital fees), non-medical (transportation, childcare), and indirect costs (lost wages) at discharge and 7 days after discharge. We multiplied subsidized hospital bed cost derived from administrative data by hospitalization days to estimate provider costs.
[h=4]RESULTS:[/h] Overall, 638 children were enrolled with a median age of 12 months (IQR 6-23). Their median length of hospitalization was 4 days (IQR 3-6). In El Salvador, caregivers incurred a median of US$38 (IQR 22-72) in direct and indirect costs per illness episode, while the median government-paid hospitalization cost was US$118 (IQR 59-384) generating an overall societal cost of US$219 (IQR 101-416) per severe ARI episode. In Panama, caregivers incurred a median of US$75 (IQR 39-135) iin direct and indirect costs, and the health-care system paid US$280 (IQR 150-420) per hospitalization producing an overall societal cost of US$393 (IQR 258-552).
[h=4]CONCLUSIONS:[/h] The cost of severe ARI to caregivers and the health care system was substantive. Our estimates will inform models to estimate national costs of severe ARI and cost-benefit of prevention and treatment strategies.
Copyright ? 2019. Published by Elsevier Ltd.
PMID: 31153920 DOI: 10.1016/j.jinf.2019.05.021
[h=1]Costs associated with acute respiratory illness and select virus infections in hospitalized children, El Salvador and Panama, 2012-2013.[/h] Jara JH[SUP]1[/SUP], Azziz-Baumgartner E[SUP]2[/SUP], De Leon T[SUP]3[/SUP], Luciani K[SUP]4[/SUP], Brizuela YS[SUP]5[/SUP], Estripeaut D[SUP]6[/SUP], Castillo JM[SUP]7[/SUP], Barahona A[SUP]3[/SUP], Corro M[SUP]4[/SUP], Cazares R[SUP]5[/SUP], Vergara O[SUP]6[/SUP], Rauda R[SUP]7[/SUP], Rodr?guez R[SUP]8[/SUP], Franco D[SUP]8[/SUP], Widdowson MA[SUP]2[/SUP], Clar? W[SUP]2[/SUP], Alvis-Estrada JP[SUP]9[/SUP], Murray CT[SUP]9[/SUP], Ortega-Sanchez IR[SUP]10[/SUP], Dawood FS[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND AND OBJECTIVES:[/h] Although acute respiratory illness (ARI) is a leading cause of hospitalization among young children, few data are available about cost of hospitalization in middle-income countries. We estimated direct and indirect costs associated with severe ARI resulting in hospitalization among children aged <10 years in El Salvador and Panama through the societal perspective.
[h=4]METHODS:[/h] During 2012 and 2013, we surveyed caregivers of children hospitalized with ARI about their direct medical (i.e. outpatient consultation, medications, hospital fees), non-medical (transportation, childcare), and indirect costs (lost wages) at discharge and 7 days after discharge. We multiplied subsidized hospital bed cost derived from administrative data by hospitalization days to estimate provider costs.
[h=4]RESULTS:[/h] Overall, 638 children were enrolled with a median age of 12 months (IQR 6-23). Their median length of hospitalization was 4 days (IQR 3-6). In El Salvador, caregivers incurred a median of US$38 (IQR 22-72) in direct and indirect costs per illness episode, while the median government-paid hospitalization cost was US$118 (IQR 59-384) generating an overall societal cost of US$219 (IQR 101-416) per severe ARI episode. In Panama, caregivers incurred a median of US$75 (IQR 39-135) iin direct and indirect costs, and the health-care system paid US$280 (IQR 150-420) per hospitalization producing an overall societal cost of US$393 (IQR 258-552).
[h=4]CONCLUSIONS:[/h] The cost of severe ARI to caregivers and the health care system was substantive. Our estimates will inform models to estimate national costs of severe ARI and cost-benefit of prevention and treatment strategies.
Copyright ? 2019. Published by Elsevier Ltd.
PMID: 31153920 DOI: 10.1016/j.jinf.2019.05.021