Cost-effectiveness analysis of isolation strategies for asymptomatic and mild symptom COVID-19 patients.
Cost Eff Resour Alloc
; 21(1): 85, 2023 Nov 09.
Article
en En
| MEDLINE
| ID: mdl-37946242
ABSTRACT
BACKGROUND:
Management of COVID-19 patients with mild and moderate symptoms could be isolated at home isolation (HI), community isolation (CI) or hospitel. However, it was still unclear which strategy was more cost-effective. Therefore, this study was conducted to evaluate this.METHODS:
This study used data from patients who initially stayed at HI, CI, and hospitel under supervision of Ramathibodi Hospital between April and October 2021. Outcomes of interest were hospitalisation and mortality. An incremental cost-effectiveness ratios (ICER) was calculated based on hospital perspective using home isolation as the reference.RESULTS:
From 7,077 patients, 4,349 2,356, and 372 were admitted at hospitel, HI, and CI, respectively. Most patients were females (57.04%) and the mean age was 40.42 (SD = 16.15). Average durations of stay were 4.47, 3.35, and 3.91 days for HI, CI, and hospitel, respectively. The average cost per day for staying in these corresponding places were 24.22, 63.69, and 65.23 US$. For hospitalisation, the ICER for hospitel was at 41.93 US$ to avoid one hospitalisation in 1,000 patients when compared to HI, while CI had more cost, but less cases avoided. The ICER for hospitel and CI were at 46.21 and 866.17 US$ to avoid one death in 1,000 patients.CONCLUSIONS:
HI may be cost-effective isolated strategy for preventing hospitalisation and death in developing countries with limited resources.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
Revista:
Cost Eff Resour Alloc
Año:
2023
Tipo del documento:
Article
País de afiliación:
Tailandia