Direct cost of illness for dengue in hospitalized children and adults at a referral hospital in India

Panmei, Kakhangchung; Joseph, A.; Rose, Winsley; Abraham, O C; Mathuram, Alice Joan; Kumar, Sathish; Abraham, Asha Mary

doi:10.1016/j.ijid.2019.02.033

Cited by 11 publications

(12 citation statements)

References 4 publications

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“…To put this into perspective, as of 2011, 21.9% of the population in India lives below the poverty line, and 21.2% of the employed population are below $1.9 in purchasing power parity per day. This cost is comparable to that reported from other studies in India and is the direct medical cost [11, 12]. The actual cost, which includes direct nonmedical costs and indirect costs, would be higher.…”

Section: Resultssupporting

confidence: 81%

Predictors of Major Bleeding and Mortality in Dengue Infection: A Retrospective Observational Study in a Tertiary Care Centre in South India

John

Gunasekaran

Mathew

et al. 2019

Interdisciplinary Perspectives on Infectious Diseases

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We conducted a retrospective observational study to describe the clinical profile and outcomes of patients admitted with a diagnosis of dengue fever in a tertiary hospital in South India. A total of 159 patients admitted from April 2014 to October 2018 were included in the study. Vomiting (70.4%), myalgia (60.4%), headache (42.1%), abdominal pain (38.4%), bleeding (38%), and rash (37.1%) were the most common symptoms at presentation. The mean duration of hospital stay was 4.9 days (SD ± 2.4), and the median cost was INR 19,708 ($285) (IQR INR 12,968–32,056 ($188–$305)). Major bleeding was associated with elevated SGOT and SGPT, severe dengue, and secondary dengue. Mortality was associated with elderly age; elevated total leukocyte count, serum bilirubin, serum creatinine, SGOT, and SGPT; and high SOFA score. In view of these observations, we recommend stratifying patients according to the WHO classification of dengue and avoiding the use of thrombocytopenia as a single marker of the severity of the illness.

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Section: Resultssupporting

confidence: 81%

Predictors of Major Bleeding and Mortality in Dengue Infection: A Retrospective Observational Study in a Tertiary Care Centre in South India

John

Gunasekaran

Mathew

et al. 2019

Interdisciplinary Perspectives on Infectious Diseases

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“…The results of the data analysis showed that there was a negative relationship between the blood transfusion action of DHF patients with the difference in INA CBG rates and the cost of medical care for DHF inpatient at Dr. Soeroto Hospital and the relationship was significant. Panmei et al (2019) stated that only 14% of children DHF patients and 20% of adults patients with DHF needed blood transfusions in hospitals.…”

Section: The Relationship Between Length Of Stay and The Difference In Costs Between Ina Cbgs And The Cost Of Hospital Medical Servicesmentioning

confidence: 99%

Factors Affecting The Cost Gap Between INA CBGs Tariff and Hospital Tariff for Patients with Dengue Hemorrhagic Fever in Ngawi Regional Public Hospital, East Java

Ariwardani

Tamtomo

Murti

2019

J HEALTH POLICY MANAGE

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Background: Dengue Hemorrhagic Fever (DHF) has a high cost burden. Payment for hospital treatment was paid by Health insurance (BPJS) with a case based payment method in the era of the National Health Insurance. This method allowed the hospital to gain profit or loss. This study aimed to analyze the factors that influence the differences in Indonesian Cased Based Groups (INA CBGs) with the medical service costs for DHF in Dr. Soeroto hospitals, Ngawi Regency. Subjects and Method:This study used an observational analytic study with a cross-sectional approach conducted at Dr. Soeroto Hospital, Ngawi Regency, East Java in September -October 2019. A sample of 200 subjects was selected by using simple random sampling. The dependent variable was the difference in rate. The independent variables were class of care, length of stay, age, blood transfusion, comorbidity and complications. Data analysis was using multiple linear regression with Stata 13.Results: INA CBG rates (mean= Rp 6,120,000; SD= Rp 2,330,000) was lower than the cost of hospital treatment (mean= Rp 7,070,000; SD= Rp 4,650,000). There is a negative relationship between the difference in rates and it was statistically significant on the length of stay (b= 0.73; 95% CI= -1,131,915 to -329,501; p= <0.001), patients' age (b= 0.41; 95% CI= -707,099 to -110,293; p= 0.008), blood transfusion action (b= 0.79; 95% 549,190; p= 0.041), and comorbidity (b= 1.14 ; 95% CI= -1,817,112 to -474,641; p= 0.001). While there was a statistically insignificant relationship between classes of care (b= 0.42; 95% CI = -931,443 to 82,607; p= 0.100) and complication (b= 0.34; 95% CI= -1,093,208 to 408,223; p= 0.369). Conclusion:Difference in INA CBG rates and hospital medical service costs were affected by the class of care, length of stay, age, blood transfusion, comorbidity and complications.

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“…The result was in contrast with the similar study conducted by Panmei K et al, for 391 adults, and the median direct medical total costs were USD 287.22 (IQR 389.34-210.96). 13 Based on the scheme, the mean direct medical cost for non-insurance and insurance was INR 8410.80 (USD 115.53) and INR 8170.68 (USD 112.20), respectively. The results were in contrast with the study conducted by Supdami W et al, in Indonesia, where the mean direct medical costs for insurance and non-insurance were US$ 251.29 and US$ 318.83, respectively.…”

Section: Discussionmentioning

confidence: 99%

Assessment of direct medical cost using cost of illness analysis in patients with dengue fever - Retrospective study

Rafikahmed

Mateti

Subramanya

et al. 2021

Clinical Epidemiology and Global Health

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Introduction: Dengue fever is a mosquito-borne human viral disease spread globally and is regarded as a global threat by the World Health Organization (WHO). In India, an appalling rise has recently been observed, resulting in an economic burden. Objective: To study the direct medical costs using cost of illness analysis and the varied clinical presentations of the disease. Methodology: A retrospective study was conducted among patients diagnosed with dengue fever in the general medicine department. Data was collected from eligible dengue patients admitted between June 2018 to December 2019. Patient's demographic details, clinical presentations, factors affecting the cost, direct medical cost details were recorded. Results:The study enrolled a total of 220 patients., with 75% being males and 25% being females. The majority of the patients (44.54%) were between the ages of 19-30. The average length of hospital stay was found to be 4.55 days, with the highest number of cases occurring in June and July. The NS1 antigen test yielded 88.63% positive results, and males had a higher total median direct cost of USD 102.83 than females, USD 99.16. The age group 46-60 years had the highest total median direct cost of USD 135.16 compared to other age groups. Conclusion: According to the findings, the median total direct medical cost was USD 119.29. The laboratory charges incurred 34.02%of the total cost, consultation charges incurred 17.18% of the total cost, and medication charges incurred 14.72% of the total cost.

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Direct cost of illness for dengue in hospitalized children and adults at a referral hospital in India

Cited by 11 publications

References 4 publications

Predictors of Major Bleeding and Mortality in Dengue Infection: A Retrospective Observational Study in a Tertiary Care Centre in South India

Predictors of Major Bleeding and Mortality in Dengue Infection: A Retrospective Observational Study in a Tertiary Care Centre in South India

Factors Affecting The Cost Gap Between INA CBGs Tariff and Hospital Tariff for Patients with Dengue Hemorrhagic Fever in Ngawi Regional Public Hospital, East Java

Assessment of direct medical cost using cost of illness analysis in patients with dengue fever - Retrospective study

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