Healthcare cost attributable to bronchiolitis: A population-based cohort study.
PLoS One
; 16(12): e0260809, 2021.
Article
em En
| MEDLINE
| ID: mdl-34855892
ABSTRACT
OBJECTIVE:
To determine 1-year attributable healthcare costs of bronchiolitis.METHODS:
Using a population-based matched cohort and incidence-based cost analysis approach, we identified infants <12 months old diagnosed in an emergency department (ED) or hospitalized with bronchiolitis between April 1, 2003 and March 31, 2014. We propensity-score matched infants with and without bronchiolitis on sex, age, income quintile, rurality, co-morbidities, gestational weeks, small-for-gestational-age status and pre-index healthcare cost deciles. We calculated mean attributable 1-year costs using a generalized estimating equation model and stratified costs by age, sex, income quintile, rurality, co-morbidities and prematurity.RESULTS:
We identified 58,375 infants with bronchiolitis (mean age 154±95 days, 61.3% males, 4.2% with comorbidities). Total 1-year mean bronchiolitis-attributable costs were $4,313 per patient (95%CI $4,148-4,477), with $2,847 (95%CI $2,712-2,982) spent on hospitalizations, $610 (95%CI $594-627) on physician services, $562 (95%CI $556-567)] on ED visits, $259 (95%CI $222-297) on other healthcare costs and $35 ($27-42) on drugs. Attributable bronchiolitis costs were $2,765 (95%CI $2735-2,794) vs $111 (95%CI $102-121) in the initial 10 days post index date, $4,695 (95%CI $4,589-4,800) vs $910 (95%CI $847-973) in the initial 180 days and $1,158 (95%CI $1,104-1213) vs $639 (95%CI $599-679) during days 181-360. Mean 1-year bronchiolitis costs were higher in infants <3 months old [$5,536 (95%CI $5,216-5,856)], those with co-morbidities [$17,530 (95%CI $14,683-20,377)] and with low birthweight [$5,509 (95%CI $4,927-6,091)].CONCLUSIONS:
Compared to no bronchiolitis, bronchiolitis incurs five-time and two-time higher healthcare costs within the initial and subsequent six-months, respectively. Most expenses occur in the initial 10 days and relate to hospitalization.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Bronquiolite
/
Custos de Cuidados de Saúde
/
Serviço Hospitalar de Emergência
/
Hospitalização
Tipo de estudo:
Etiology_studies
/
Health_economic_evaluation
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article