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墨西哥三级医院儿科肺动脉高压的医疗资源利用和成本。

Healthcare resource utilization and costs in pediatric pulmonary arterial hypertension in a third-level hospital in Mexico.

机构信息

Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Av. Felix Cuevas #540 Col, Del Valle Del, Benito Juárez CP 03100, México, D.F Mexico City, Mexico.

Departamento de Evaluación Económica, Agencia Mexicana de Evaluación de Tecnologías Sanitarias AC, Cerrada Gavilán #68 int 2 Col Barrio San Miguel, Iztapalapa, CP 09360, Mexico City, Mexico.

出版信息

J Comp Eff Res. 2021 Nov;10(16):1251-1257. doi: 10.2217/cer-2021-0128. Epub 2021 Sep 29.

Abstract

The objective of this study was to evaluate the healthcare costs and resource utilization of pediatric pulmonary arterial hypertension management at a third-level hospital in Mexico. A retrospective cohort study was conducted in a pediatric population with pulmonary arterial hypertension. Only direct medical costs, derived from pharmacological treatment, laboratory tests, physician visits and hospitalizations, were considered. From an institutional perspective, all costs were accounted for in 2019 US dollars. A total of 82 patients were included. Of these, 55% were female and the mean age was 6.9 (standard deviation ± 4) years. The mean annual cost was $17,452.14 (standard deviation ± $38,944.10), with a median cost of $8832.75. Pulmonary arterial hypertension is a costly disease, with hospitalization and pharmacological treatment being areas with a higher economic burden. Functional class IV has greater resource utilization and costs.

摘要

本研究旨在评估墨西哥三级医院儿科肺动脉高压管理的医疗成本和资源利用情况。一项回顾性队列研究纳入了儿科肺动脉高压患者。仅考虑了药物治疗、实验室检查、医生就诊和住院等直接医疗成本。从机构角度来看,所有成本均按 2019 年美元计算。共纳入 82 例患者。其中,55%为女性,平均年龄为 6.9(标准差±4)岁。平均年费用为 17452.14 美元(标准差±38944.10 美元),中位数费用为 8832.75 美元。肺动脉高压是一种昂贵的疾病,住院治疗和药物治疗是经济负担较重的领域。功能分级为 IV 级的患者具有更高的资源利用率和成本。

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