Hospitalization costs due to severe acute respiratory infection (SARI) in three central American Countries

Alvis-Guzmán, Nelson; Marín-Correa, Carlos; Castañeda-Orjuela, Carlos; Sánchez-Ruiz, Carolina; Carrasquilla-Sotomayor, M; Sanchez, Federico; Mena, R; Mejía, Homer

doi:10.1016/j.jval.2015.03.1475

Cited by 3 publications

(4 citation statements)

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“…22,39 Comparison with studies from other settings shows that an hospitalized SARI case estimated in this study in international dollars for 2014 (I$2,282) was greater than the estimated in Honduras (I$1,494), Guatemala (I$1,175) and Nicaragua (I$830), and lower than the reported in Brazil (I$2,432). 23,40 Hospitalization owing to influenza-related illness incurred a high cost to the health systems in Latin-American countries.…”

Section: Discussionmentioning

confidence: 99%

“…20 Influenza significantly impairs people's quality of life and causes high economic burden to health systems, families, and society, but there is little evidence of that in Latin America. [21][22][23] In Colombia, no study has estimated the ARI costs using laboratoryconfirmed influenza cases. This study aimed to help fill this gap by estimating the economic costs in a sample of confirmed influenza pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

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Economic Cost of Severe Acute Respiratory Infection Associated to Influenza in Colombian Children: A Single Setting Analysis

Salcedo-Mejía

Alvis-Zakzuk

Carrasquilla-Sotomayor³

et al. 2019

Value in Health Regional Issues

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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 ¼ 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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Economic Cost of Severe Acute Respiratory Infection Associated to Influenza in Colombian Children: A Single Setting Analysis

Salcedo-Mejía

Alvis-Zakzuk

Carrasquilla-Sotomayor³

et al. 2019

Value in Health Regional Issues

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“…The highest and lowest reduction in morbidity and mortality cases was observed for Sri Lanka and Thailand respectively. Country-wise, VSL for mortality and COI for each disease were taken from the data collated in Supplementary Table 2 (Aljunid et al 2013 ; Alvis-Guzmán et al 2015 ). The damages were assessed using Eq.…”

Section: Resultsmentioning

confidence: 99%

Assessment and valuation of health impacts of fine particulate matter during COVID-19 lockdown: a comprehensive study of tropical and sub tropical countries

Bherwani

Kumar

Musugu

et al. 2021

Environ Sci Pollut Res

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Graphical abstract A novel coronavirus disease (COVID-19) continues to challenge the whole world. The disease has claimed many fatalities as it has transcended from one country to another since it was first discovered in China in late 2019. To prevent further morbidity and mortality associated with COVID-19, most of the countries initiated a countrywide lockdown. While physical distancing and lockdowns helped in curbing the spread of this novel coronavirus, it led to massive economic losses for the nations. Positive impacts have been observed due to lockdown in terms of improved air quality of the nations. In the current research, ten tropical and subtropical countries have been analysed from multiple angles, including air pollution, assessment and valuation of health impacts and economic loss of countries during COVID-19 lockdown. Countries include Brazil, India, Iran, Kenya, Malaysia, Mexico, Pakistan, Peru, Sri Lanka, and Thailand. Validated Simplified Aerosol Retrieval Algorithm (SARA) binning model is used on data collated from moderate resolution imaging spectroradiometer (MODIS) for particulate matters with a diameter of less than 2.5 μm (PM 2.5 ) for all the countries for the month of January to May 2019 and 2020. The concentration results of PM 2.5 show that air pollution has drastically reduced in 2020 post lockdown for all countries. The highest average concentration obtained by converting aerosol optical depth (AOD) for 2020 is observed for Thailand as 121.9 μg/m 3 and the lowest for Mexico as 36.27 μg/m 3 . As air pollution is found to decrease in the April and May months of 2020 for nearly all countries, they are compared with respective previous year values for the same duration to calculate the reduced health burden due to lockdown. The present study estimates that cumulative about 100.9 Billion US$ are saved due to reduced air pollution externalities, which are about 25% of the cumulative economic loss of 435.9 Billion US$. Supplementary Information The online version contains supplementary material available at 10.1007/s11356-021-13813-w.

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“…To date, among countries in Latin America, published estimates of costs of hospitalized ARI or pneumonia among children are available from Argentina, Colombia, Guatemala, Honduras, Nicaragua, Peru and Mexico, although only some studies included costs to the health-care system that are critical to policy making decisions. 4,[22][23][24][25][26] In Argentina, the median cost of hospitalization for respiratory illness among children aged < 5 years from the societal perspective was US$529. 24 In Nicaragua, the average cost of severe respiratory illness hospitalizations among children aged 6 months through 9 years from the government perspective ranged from US$315 among patients hospitalized in the general ward to US$ 972 for those hospitalized in the ICU.…”

Section: Discussionmentioning

confidence: 99%

Costs associated with acute respiratory illness and select virus infections in hospitalized children, El Salvador and Panama, 2012–2013

Jara

Azziz‐Baumgartner

León³

et al. 2019

Journal of Infection

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Background and objectives: 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. Methods: 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 costs derived from administrative data by hospitalization days to estimate provider costs. Results: 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) in 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). Conclusions: 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.

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Hospitalization costs due to severe acute respiratory infection (SARI) in three central American Countries

Cited by 3 publications

References 0 publications

Economic Cost of Severe Acute Respiratory Infection Associated to Influenza in Colombian Children: A Single Setting Analysis

Economic Cost of Severe Acute Respiratory Infection Associated to Influenza in Colombian Children: A Single Setting Analysis

Assessment and valuation of health impacts of fine particulate matter during COVID-19 lockdown: a comprehensive study of tropical and sub tropical countries

Costs associated with acute respiratory illness and select virus infections in hospitalized children, El Salvador and Panama, 2012–2013

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