印度一家转诊医院住院儿童和成人登革热疾病直接成本。

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

机构信息

Department of Clinical Virology, Christian Medical College, Vellore, TN 632004, India.

Translational Health Science and Technology Institute, Faridabad, Haryana 121001, India.

出版信息

Int J Infect Dis. 2019 Jul;84S:S64-S67. doi: 10.1016/j.ijid.2019.02.033. Epub 2019 Feb 28.

DOI:10.1016/j.ijid.2019.02.033

PMID:30826484

Abstract

OBJECTIVES

To describe the direct cost of illness in pediatric and adult inpatients at a referral hospital in India.

METHODS

Inpatients who tested positive for dengue were identified in the hospital records of a single private non-profit hospital over a period of 1 year and line-listed. Hospital discharge bills were obtained for pediatric and adult patients and the median costs by severity of illness for bed and treatment were estimated. Costs were also converted to US dollars (1 USD=64.6 Indian rupees (INR)).

RESULTS

The median and interquartile range (IQR) direct costs for pediatric dengue without warning signs, dengue with warning signs, and severe dengue were 179.80 (IQR 85.51-428.51) USD, 145.06 (IQR 90.89-321.86) USD, and 933.51 (IQR 400.50-1117.43) USD, respectively. The median and IQR direct costs for adult dengue without warning signs, dengue with warning signs, and severe dengue were 312.75 (IQR 174.55-531.03) USD, 287.22 (IQR 210.96-389.34) USD, and 720.39 (IQR 389.23-1035.51) USD, respectively.

CONCLUSIONS

Children and adults with dengue incur high costs when hospitalized for dengue. Since most medical costs in India are out-of-pocket expenses, these illnesses can impact households.

摘要

目的

描述印度一家转诊医院儿科和成年住院患者的疾病直接经济负担。

方法

在一家私立非营利性医院的医院记录中，对在一年期间内确诊为登革热的住院患者进行识别和列表记录。获取儿科和成年患者的医院出院账单，并按疾病严重程度估计床位和治疗费用的中位数。还将成本转换为美元（1 美元=64.6 印度卢比（INR））。

结果

无预警登革热、有预警登革热和重症登革热患儿的直接医疗费用中位数和四分位距（IQR）分别为 179.80 美元（IQR 85.51-428.51）、145.06 美元（IQR 90.89-321.86）和 933.51 美元（IQR 400.50-1117.43）。无预警登革热、有预警登革热和重症登革热成年患者的直接医疗费用中位数和 IQR 分别为 312.75 美元（IQR 174.55-531.03）、287.22 美元（IQR 210.96-389.34）和 720.39 美元（IQR 389.23-1035.51）。