Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country

Introduction and objectives With the objective of making informed decisions on resource allocation, there is a critical need for studies that provide accurate information on hospital costs for treating respiratory syncytial virus (RSV)-related bronchiolitis, mainly in middle-income countries (MICs)....

Full description

Autores:
Rodríguez-Martínez, Carlos E.
Sossa-Briceño, Mónica P.
Castro-Rodriguez, Jose A.
Tipo de recurso:
Fecha de publicación:
2020
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/1960
Acceso en línea:
http://hdl.handle.net/20.500.12495/1960
https://doi.org/10.1016/j.aller.2019.04.004
Palabra clave:
Soporte ventilatorio interactivo
Instituciones de cuidados intermedios
Oxigenación hiperbárica
Bronchiolitis
Respiratory syncytial virus
Hospitalization costs
Length of stay
Rights
License
Acceso cerrado
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dc.title.spa.fl_str_mv Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
title Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
spellingShingle Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
Soporte ventilatorio interactivo
Instituciones de cuidados intermedios
Oxigenación hiperbárica
Bronchiolitis
Respiratory syncytial virus
Hospitalization costs
Length of stay
title_short Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
title_full Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
title_fullStr Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
title_full_unstemmed Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
title_sort Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical country
dc.creator.fl_str_mv Rodríguez-Martínez, Carlos E.
Sossa-Briceño, Mónica P.
Castro-Rodriguez, Jose A.
dc.contributor.author.none.fl_str_mv Rodríguez-Martínez, Carlos E.
Sossa-Briceño, Mónica P.
Castro-Rodriguez, Jose A.
dc.subject.decs.spa.fl_str_mv Soporte ventilatorio interactivo
Instituciones de cuidados intermedios
Oxigenación hiperbárica
topic Soporte ventilatorio interactivo
Instituciones de cuidados intermedios
Oxigenación hiperbárica
Bronchiolitis
Respiratory syncytial virus
Hospitalization costs
Length of stay
dc.subject.keywords.spa.fl_str_mv Bronchiolitis
Respiratory syncytial virus
Hospitalization costs
Length of stay
description Introduction and objectives With the objective of making informed decisions on resource allocation, there is a critical need for studies that provide accurate information on hospital costs for treating respiratory syncytial virus (RSV)-related bronchiolitis, mainly in middle-income countries (MICs). The aim of the present study was to evaluate the direct medical costs associated with bronchiolitis hospitalizations caused by infection with RSV in Bogota, Colombia. Material and methods We reviewed the available electronic medical records (EMRs) for all infants younger than two years of age who were admitted to the Fundacion Hospital de La Misericordia with a discharge principal diagnosis of RSV-related bronchiolitis over a 24-month period from January 2016 to December 2017. Direct medical costs of RSV-related bronchiolitis were retrospectively collected by dividing the infants into three groups: those requiring admission to the pediatric ward (PW) only, those requiring admission to the pediatric intermediate care unit (PIMC), and those requiring to the pediatric intensive care unit (PICU). Results A total of 89 patients with a median (IQR) age of 7.1 (3.1–12.2) months were analyzed of whom 20 (56.2%) were males. Overall, the median (IQR) cost of infants treated in the PW, in the PIMC, and in the PICU was US$518.0 (217.0–768.9) vs. 1305.2 (1051.4–1492.2) vs. 2749.7 (1372.7–4159.9), respectively, with this difference being statistically significant (p < 0.001). Conclusions The present study helps to further our understanding of the economic burden of RSV-related bronchiolitis hospitalizations among infants of under two years of age in a middle-income tropical country.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-02-25T19:46:45Z
dc.date.available.none.fl_str_mv 2020-02-25T19:46:45Z
dc.date.issued.none.fl_str_mv 2020
dc.type.spa.fl_str_mv article
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dc.type.local.spa.fl_str_mv artículo
dc.identifier.issn.none.fl_str_mv 0301-0546
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12495/1960
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.aller.2019.04.004
dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad El Bosque
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url http://hdl.handle.net/20.500.12495/1960
https://doi.org/10.1016/j.aller.2019.04.004
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartofseries.spa.fl_str_mv Allergologia et Immunopathologia, 0301-0546, Vol. 48, Nro. 1, January–February 2020, p.56-61
dc.relation.uri.none.fl_str_mv https://www.sciencedirect.com/science/article/pii/S0301054619300540#!
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dc.rights.local.spa.fl_str_mv Acceso cerrado
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rights_invalid_str_mv Acceso cerrado
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dc.publisher.spa.fl_str_mv Allergologia et Immunopathologia
dc.publisher.journal.spa.fl_str_mv Allergologia et Immunopathologia
institution Universidad El Bosque
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spelling Rodríguez-Martínez, Carlos E.Sossa-Briceño, Mónica P.Castro-Rodriguez, Jose A.2020-02-25T19:46:45Z2020-02-25T19:46:45Z20200301-0546http://hdl.handle.net/20.500.12495/1960https://doi.org/10.1016/j.aller.2019.04.004instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coapplication/pdfengAllergologia et ImmunopathologiaAllergologia et ImmunopathologiaAllergologia et Immunopathologia, 0301-0546, Vol. 48, Nro. 1, January–February 2020, p.56-61https://www.sciencedirect.com/science/article/pii/S0301054619300540#!Direct medical costs of RSV-related bronchiolitis hospitalizations in a middle-income tropical countryarticleartículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Soporte ventilatorio interactivoInstituciones de cuidados intermediosOxigenación hiperbáricaBronchiolitisRespiratory syncytial virusHospitalization costsLength of stayIntroduction and objectives With the objective of making informed decisions on resource allocation, there is a critical need for studies that provide accurate information on hospital costs for treating respiratory syncytial virus (RSV)-related bronchiolitis, mainly in middle-income countries (MICs). The aim of the present study was to evaluate the direct medical costs associated with bronchiolitis hospitalizations caused by infection with RSV in Bogota, Colombia. Material and methods We reviewed the available electronic medical records (EMRs) for all infants younger than two years of age who were admitted to the Fundacion Hospital de La Misericordia with a discharge principal diagnosis of RSV-related bronchiolitis over a 24-month period from January 2016 to December 2017. Direct medical costs of RSV-related bronchiolitis were retrospectively collected by dividing the infants into three groups: those requiring admission to the pediatric ward (PW) only, those requiring admission to the pediatric intermediate care unit (PIMC), and those requiring to the pediatric intensive care unit (PICU). Results A total of 89 patients with a median (IQR) age of 7.1 (3.1–12.2) months were analyzed of whom 20 (56.2%) were males. Overall, the median (IQR) cost of infants treated in the PW, in the PIMC, and in the PICU was US$518.0 (217.0–768.9) vs. 1305.2 (1051.4–1492.2) vs. 2749.7 (1372.7–4159.9), respectively, with this difference being statistically significant (p < 0.001). Conclusions The present study helps to further our understanding of the economic burden of RSV-related bronchiolitis hospitalizations among infants of under two years of age in a middle-income tropical country.Acceso cerradohttp://purl.org/coar/access_right/c_abf2962019http://purl.org/coar/access_right/c_abf2ORIGINALRodríguez-Martínez, Carlos E.,Sossa-Briceño, Mónica P._2020.pdfRodríguez-Martínez, Carlos E.,Sossa-Briceño, Mónica P._2020.pdfapplication/pdf494006https://repositorio.unbosque.edu.co/bitstreams/e4412145-5314-4b88-92fc-255bba8c9ea9/download5bec25d7a4ae5b340a5b84d161e8a667MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.unbosque.edu.co/bitstreams/63b87d49-e35f-4fe9-8c58-bc169f920acd/download8a4605be74aa9ea9d79846c1fba20a33MD52THUMBNAILRodríguez-Martínez, Carlos E.,Sossa-Briceño, Mónica P._2020.pdf.jpgRodríguez-Martínez, Carlos E.,Sossa-Briceño, Mónica P._2020.pdf.jpgimage/jpeg5775https://repositorio.unbosque.edu.co/bitstreams/1ef2308e-5c41-4516-813b-fd86c63336fe/download7210a811635d1799e7c05fee5d259be7MD53TEXTRodríguez-Martínez, Carlos E.,Sossa-Briceño, Mónica P._2020.pdf.txtRodríguez-Martínez, Carlos E.,Sossa-Briceño, Mónica P._2020.pdf.txtExtracted texttext/plain85276https://repositorio.unbosque.edu.co/bitstreams/4a24aee4-4b32-410b-acbd-6040e36d7bab/downloadf040bb356fa0f5b027101ced2da11831MD5420.500.12495/1960oai:repositorio.unbosque.edu.co:20.500.12495/19602024-02-07 03:20:41.556restrictedhttps://repositorio.unbosque.edu.coRepositorio Institucional Universidad El Bosquebibliotecas@biteca.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