Custos hospitalares da meningite causada por Streptococcus pneumoniae na cidade de São José dos Campos, São Paulo, Brasil

Lucarevschi, Bianca Rezende; Escobar, Ana Maria de Ulhôa; Grisi, Sandra

doi:10.1590/s0102-311x2012000400013

Cited by 8 publications

(4 citation statements)

References 21 publications

(13 reference statements)

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“…Hospital expenses for the treatment of ABM can vary depending on factors such as medical complications, the cost of antibiotics, and the management of each patient’s clinical condition. [ 21 ] The expenses have increased over the years, with 2019 having nearly 40 times higher costs than in 2008. The Southeast region had the highest expenses, followed by the Midwest and North regions.…”

Section: Discussionmentioning

confidence: 99%

“…[ 17 ] Alongside other neurological disorders, it places a substantial financial burden on the public health system. [ 18 19 20 21 ] It affects all age groups, in addition to being an important clinical presentation that should be well-known by health professionals. The study of the epidemiology of ABM is relevant for health planning, generating better prevention, treatment, and patient support measures, in addition to determining the necessary hospital costs.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological and Financial Aspects of Hospitalizations for Bacterial Meningitis in Brazil

Oliva,

Xavier,

Chaves

et al. 2024

Journal of Global Infectious Diseases

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Introduction: Understanding the epidemiology and cost implications of acute bacterial meningitis is crucial for effective health planning, timely treatment implementation, and comprehensive patient support measures, as well as for determining appropriate hospital expenses. Therefore, we conducted an analysis of hospitalization cases for bacterial meningitis in Brazil from January 2008 to December 2019 Methods: This is a descriptive ecological study that utilized the Hospital Information System of Brazil’s National Unified Health System (SIH/SUS) database. The variables included sex, region, age group, hospitalizations, deaths, lethality rate, and hospital service expenses. The data were tabulated to focus specifically on the epidemiological aspect of bacterial meningitis Results: During the study period, there were 20,207 hospitalizations for bacterial meningitis in Brazil. Men accounted for a higher number of cases, with 11,690 (57.67%), while women had a higher lethality rate of 10.64%. The Southeast region had the highest percentage of both hospitalizations (45.78%) and deaths (46.42%). Bacterial meningitis remains an important cause of morbidity and mortality, particularly in children under 5 years of age. Notably, the elderly and the Northeast region showed higher rates of lethality. The total expenditure on hospital services exceeded 43 million in Brazilian real, with the highest expenditure observed in 2019 and the lowest in 2011 Conclusion: A higher prevalence of the disease was observed in males, in children under 1-year-old and in the southeast region. Hospital expenditures were found to be substantial and increasing over time, underscoring the significance of early diagnosis and the promotion of vaccination campaigns.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Epidemiological and Financial Aspects of Hospitalizations for Bacterial Meningitis in Brazil

Oliva,

Xavier,

Chaves

et al. 2024

Journal of Global Infectious Diseases

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“…The authors 13 have identified a deficit of R$395,329.17 between the amounts obtained by the bottom-up technique (R$718,036.70) and the amount reimbursed by the AIH (R$321,607.45). Lucarevschi et al 14 , when combining the bottom-up and top-down techniques to assess direct hospital costs related to pneumococcal meningitis in children, have identified costs 10 to 20 times higher than those paid by the AIH. Given the variety of health outcomes, we can assume that the amount paid by the AIH may also overestimate the cost of hospitalization for some outcomes, although this study has not identified publications that support this assumption.…”

Section: Discussionmentioning

confidence: 99%

Deficiência de glicose-6-fosfato desidrogenase e uso de primaquina: estimativa de custos de profissionais por macrocusteio e microcusteio

et al. 2017

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The aim of this study has been to study whether the top-down method, based on the average value identified in the Brazilian Hospitalization System (SIH/SUS), is a good estimator of the cost of health professionals per patient, using the bottom-up method for comparison. The study has been developed from the context of hospital care offered to the patient carrier of glucose-6-phosphate dehydrogenase (G6PD) deficiency with severe adverse effect because of the use of primaquine, in the Brazilian Amazon. The top-down method based on the spending with SIH/SUS professional services, as a proxy for this cost, corresponded to R$60.71, and the bottom-up, based on the salaries of the physician (R$30.43), nurse (R$16.33), and nursing technician (R$5.93), estimated a total cost of R$52.68. The difference was only R$8.03, which shows that the amounts paid by the Hospital Inpatient Authorization (AIH) are estimates close to those obtained by the bottom-up technique for the professionals directly involved in the care.

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“…Reporting these estimates is particularly relevant given the ongoing human resource crisis in many parts of sub-Saharan Africa, including Malawi [ 16 ]. Treatment cost estimates for vaccine-preventable childhood illnesses are more prevalent in Latin America, although among the cost of illness studies included in a recent systematic review [ 17 ], only one reports the share of human resources costs, which was approximately 22 % of total under-5 pneumonia treatment costs [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Measurement and valuation of health providers’ time for the management of childhood pneumonia in rural Malawi: an empirical study

Bozzani

Arnold

Colbourn

et al. 2016

BMC Health Serv Res

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BackgroundHuman resources are a major cost driver in childhood pneumonia case management. Introduction of 13-valent pneumococcal conjugate vaccine (PCV-13) in Malawi can lead to savings on staff time and salaries due to reductions in pneumonia cases requiring admission. Reliable estimates of human resource costs are vital for use in economic evaluations of PCV-13 introduction.MethodsTwenty-eight severe and twenty-four very severe pneumonia inpatients under the age of five were tracked from admission to discharge by paediatric ward staff using self-administered timesheets at Mchinji District Hospital between June and August 2012. All activities performed and the time spent on each activity were recorded. A monetary value was assigned to the time by allocating a corresponding percentage of the health workers’ salary. All costs are reported in 2012 US$.ResultsA total of 1,017 entries, grouped according to 22 different activity labels, were recorded during the observation period. On average, 99 min (standard deviation, SD = 46) were spent on each admission: 93 (SD = 38) for severe and 106 (SD = 55) for very severe cases. Approximately 40 % of activities involved monitoring and stabilization, including administering non-drug therapies such as oxygen. A further 35 % of the time was spent on injecting antibiotics. Nurses provided 60 % of the total time spent on pneumonia admissions, clinicians 25 % and support staff 15 %. Human resource costs were approximately US$ 2 per bed-day and, on average, US$ 29.5 per severe pneumonia admission and US$ 37.7 per very severe admission.ConclusionsSelf-reporting was successfully used in this context to generate reliable estimates of human resource time and costs of childhood pneumonia treatment. Assuming vaccine efficacy of 41 % and 90 % coverage, PCV-13 introduction in Malawi can save over US$ 2 million per year in staff costs alone.

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Custos hospitalares da meningite causada por Streptococcus pneumoniae na cidade de São José dos Campos, São Paulo, Brasil

Cited by 8 publications

References 21 publications

Epidemiological and Financial Aspects of Hospitalizations for Bacterial Meningitis in Brazil

Epidemiological and Financial Aspects of Hospitalizations for Bacterial Meningitis in Brazil

Deficiência de glicose-6-fosfato desidrogenase e uso de primaquina: estimativa de custos de profissionais por macrocusteio e microcusteio

Measurement and valuation of health providers’ time for the management of childhood pneumonia in rural Malawi: an empirical study

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