Economic cost of severe acute respiratory infection associated to influenza in Colombian children

Background: Influenza is considered a leading public health problem because its large economic burden of disease worldwide, especially in low-and middle-income countries, such as Colombia. Objective: We aimed to estimate the economic costs of influenzaconfirmed patients in a pediatric hospital in Ca...

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Autores:
Salcedo Mejía, Fernando
CARRASQUILLA SOTOMAYOR, MARIA
Castañeda-Orjuela, Carlos
DE LA HOZ RESTREPO, FERNANDO
Alvis-Guzmán, Nelson
Alvis Zakzuk, Nelson J.
Tipo de recurso:
http://purl.org/coar/resource_type/c_816b
Fecha de publicación:
2020
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/6207
Acceso en línea:
https://hdl.handle.net/11323/6207
https://repositorio.cuc.edu.co/
Palabra clave:
Acute respiratory infection
Cost analysis
Direct cost
Indirect cost
Out-of-pocket
Rights
openAccess
License
CC0 1.0 Universal
id RCUC2_7ac71abfd49fe1a6a7875678bb368e79
oai_identifier_str oai:repositorio.cuc.edu.co:11323/6207
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.spa.fl_str_mv Economic cost of severe acute respiratory infection associated to influenza in Colombian children
title Economic cost of severe acute respiratory infection associated to influenza in Colombian children
spellingShingle Economic cost of severe acute respiratory infection associated to influenza in Colombian children
Acute respiratory infection
Cost analysis
Direct cost
Indirect cost
Out-of-pocket
title_short Economic cost of severe acute respiratory infection associated to influenza in Colombian children
title_full Economic cost of severe acute respiratory infection associated to influenza in Colombian children
title_fullStr Economic cost of severe acute respiratory infection associated to influenza in Colombian children
title_full_unstemmed Economic cost of severe acute respiratory infection associated to influenza in Colombian children
title_sort Economic cost of severe acute respiratory infection associated to influenza in Colombian children
dc.creator.fl_str_mv Salcedo Mejía, Fernando
CARRASQUILLA SOTOMAYOR, MARIA
Castañeda-Orjuela, Carlos
DE LA HOZ RESTREPO, FERNANDO
Alvis-Guzmán, Nelson
Alvis Zakzuk, Nelson J.
dc.contributor.author.spa.fl_str_mv Salcedo Mejía, Fernando
CARRASQUILLA SOTOMAYOR, MARIA
Castañeda-Orjuela, Carlos
DE LA HOZ RESTREPO, FERNANDO
Alvis-Guzmán, Nelson
dc.contributor.author.none.fl_str_mv Alvis Zakzuk, Nelson J.
dc.subject.spa.fl_str_mv Acute respiratory infection
Cost analysis
Direct cost
Indirect cost
Out-of-pocket
topic Acute respiratory infection
Cost analysis
Direct cost
Indirect cost
Out-of-pocket
description Background: Influenza is considered a leading public health problem because its large economic burden of disease worldwide, especially in low-and middle-income countries, such as Colombia. Objective: We aimed to estimate the economic costs of influenzaconfirmed patients in a pediatric hospital in Cartagena, Colombia. Methods: We conducted a retrospective costing analysis. We estimated the direct (direct medical and out-of-pocket expenditures) and indirect costs for influenza-confirmed severe acute respiratory infection cases from a societal perspective. Total economic costs were calculated adding direct medical costs, out-of-pocket expenditures, and indirect costs owing to loss of productivity of caregivers. Mean, median, 95% confidence interval (95% CI) and interquartile range (IQR) of costs were measured. All costs are reported in USD ($1.00 = COP$2000.7) Results: Forty-four cases were included in the analysis: 30 had influenza B, 10 influenza A and B, and 4 influenza AH1N1. Thirty patients were hospitalized in the general ward, 14 went to the intensive care unit. The average duration of stay was ∼9 days (95% CI, 6.3-11.5). The median direct medical cost for hospitalized case in general ward was $743.50 (IQR $590.20-$1404.60) and in intensive care unit $4669.80 (IQR $1614.60-$7801.50). The economic cost per hospitalized case was $1826.10 (IQR $1343.30-$2376.50); direct medical costs represented 93.8% of this cost. The median indirect cost was $82.10 (IQR $41.10-$133.40) and the median out-of-pocket expenditure per case was $45.70 (IQR $29.50-$64.90). Conclusions: Severe acute respiratory infection is an important source of economic burden for the health system, families, and society in Colombia. Seasonal influenza vaccination should be strengthened to prevent more cases and save economic resources.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-04-17T00:05:46Z
dc.date.available.none.fl_str_mv 2020-04-17T00:05:46Z
dc.date.issued.none.fl_str_mv 2020
dc.type.spa.fl_str_mv Pre-Publicación
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_816b
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/preprint
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dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
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dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
url https://hdl.handle.net/11323/6207
https://repositorio.cuc.edu.co/
identifier_str_mv Corporación Universidad de la Costa
REDICUC - Repositorio CUC
dc.language.iso.none.fl_str_mv eng
language eng
dc.rights.spa.fl_str_mv CC0 1.0 Universal
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eu_rights_str_mv openAccess
dc.publisher.spa.fl_str_mv Universidad de la Costa
institution Corporación Universidad de la Costa
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spelling Salcedo Mejía, FernandoCARRASQUILLA SOTOMAYOR, MARIACastañeda-Orjuela, CarlosDE LA HOZ RESTREPO, FERNANDOAlvis-Guzmán, NelsonAlvis Zakzuk, Nelson J.virtual::233-12020-04-17T00:05:46Z2020-04-17T00:05:46Z2020https://hdl.handle.net/11323/6207Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Background: Influenza is considered a leading public health problem because its large economic burden of disease worldwide, especially in low-and middle-income countries, such as Colombia. Objective: We aimed to estimate the economic costs of influenzaconfirmed patients in a pediatric hospital in Cartagena, Colombia. Methods: We conducted a retrospective costing analysis. We estimated the direct (direct medical and out-of-pocket expenditures) and indirect costs for influenza-confirmed severe acute respiratory infection cases from a societal perspective. Total economic costs were calculated adding direct medical costs, out-of-pocket expenditures, and indirect costs owing to loss of productivity of caregivers. Mean, median, 95% confidence interval (95% CI) and interquartile range (IQR) of costs were measured. All costs are reported in USD ($1.00 = COP$2000.7) Results: Forty-four cases were included in the analysis: 30 had influenza B, 10 influenza A and B, and 4 influenza AH1N1. Thirty patients were hospitalized in the general ward, 14 went to the intensive care unit. The average duration of stay was ∼9 days (95% CI, 6.3-11.5). The median direct medical cost for hospitalized case in general ward was $743.50 (IQR $590.20-$1404.60) and in intensive care unit $4669.80 (IQR $1614.60-$7801.50). The economic cost per hospitalized case was $1826.10 (IQR $1343.30-$2376.50); direct medical costs represented 93.8% of this cost. The median indirect cost was $82.10 (IQR $41.10-$133.40) and the median out-of-pocket expenditure per case was $45.70 (IQR $29.50-$64.90). Conclusions: Severe acute respiratory infection is an important source of economic burden for the health system, families, and society in Colombia. 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