Cost of illness due to respiratory syncytial virus acute lower respiratory tract infection among infants hospitalized in Argentina.

Acute lower respiratory tract infection Cost of illness Direct medical cost Respiratory syncytial virus

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
10 Feb 2024
Historique:
received: 25 09 2023
accepted: 24 01 2024
medline: 10 2 2024
pubmed: 10 2 2024
entrez: 9 2 2024
Statut: epublish

Résumé

Information is scarce regarding the economic burden of respiratory syncytial virus (RSV) disease in low-resource settings. This study aimed to estimate the cost per episode of hospital admissions due to RSV severe disease in Argentina. This is a prospective cohort study that collected information regarding 256 infants under 12 months of age with acute lower respiratory tract infection (ALRTI) due to RSV in two public hospitals of Buenos Aires between 2014 and 2016. Information on healthcare resource use was collected from the patient's report and its associated costs were estimated based on the financial database and account records of the hospitals. We estimated the total cost per hospitalization due to RSV using the health system perspective. The costs were estimated in US dollars as of December 2022 (1 US dollar = 170 Argentine pesos). The mean costs per RSV hospitalization in infants was US$587.79 (95% confidence interval [CI] $535.24 - $640.33). The mean costs associated with pediatric intensive care unit (PICU) admission more than doubled from those at regular pediatric wards ($1,556.81 [95% CI $512.21 - $2,601.40] versus $556.53 [95% CI $514.59 - $598.48]). This study shows the direct economic impact of acute severe RSV infection on the public health system in Argentina. The estimates obtained from this study could be used to inform cost-effectiveness analyses of new preventive RSV interventions being developed.

Sections du résumé

BACKGROUND BACKGROUND
Information is scarce regarding the economic burden of respiratory syncytial virus (RSV) disease in low-resource settings. This study aimed to estimate the cost per episode of hospital admissions due to RSV severe disease in Argentina.
METHODS METHODS
This is a prospective cohort study that collected information regarding 256 infants under 12 months of age with acute lower respiratory tract infection (ALRTI) due to RSV in two public hospitals of Buenos Aires between 2014 and 2016. Information on healthcare resource use was collected from the patient's report and its associated costs were estimated based on the financial database and account records of the hospitals. We estimated the total cost per hospitalization due to RSV using the health system perspective. The costs were estimated in US dollars as of December 2022 (1 US dollar = 170 Argentine pesos).
RESULTS RESULTS
The mean costs per RSV hospitalization in infants was US$587.79 (95% confidence interval [CI] $535.24 - $640.33). The mean costs associated with pediatric intensive care unit (PICU) admission more than doubled from those at regular pediatric wards ($1,556.81 [95% CI $512.21 - $2,601.40] versus $556.53 [95% CI $514.59 - $598.48]).
CONCLUSIONS CONCLUSIONS
This study shows the direct economic impact of acute severe RSV infection on the public health system in Argentina. The estimates obtained from this study could be used to inform cost-effectiveness analyses of new preventive RSV interventions being developed.

Identifiants

pubmed: 38336643
doi: 10.1186/s12889-024-17878-3
pii: 10.1186/s12889-024-17878-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

427

Informations de copyright

© 2024. The Author(s).

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Auteurs

Julia Dvorkin (J)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Escuela de Bio y Nanotecnologías, Universidad Nacional de San Martín (UNSAM), San Martín, Provincia de Buenos Aires, Argentina.
Consejo de Investigaciones Cientificas y Tecnicas (CONICET), Buenos Aires, Argentina.

Emiliano Sosa (E)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Escuela de Bio y Nanotecnologías, Universidad Nacional de San Martín (UNSAM), San Martín, Provincia de Buenos Aires, Argentina.

Elizabeth Vodicka (E)

Center for Vaccine Innovation and Access, PATH, Seattle, WA, USA.

Ranju Baral (R)

Center for Vaccine Innovation and Access, PATH, Seattle, WA, USA.

Andrea Sancilio (A)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Servicio de Pediatría, Hospital Evita de Lanús, Lanús, Provincia de Buenos Aires, Argentina.

Karina Dueñas (K)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Servicio de Pediatría, Hospital Evita de Lanús, Lanús, Provincia de Buenos Aires, Argentina.

Andrea Rodriguez (A)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Servicio de Pediatría, Hospital Evita Pueblo de Berazategui, Berazategui, Provincia de Buenos Aires, Argentina.

Carlos Rojas-Roque (C)

Centre for Health Economics, University of York, Heslington, York, UK.

Patricia B Carruitero (PB)

Facultad de Ciencias Económicas, Universidad Nacional de La Plata, La Plata, Argentina.

Fernando P Polack (FP)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.

Clint Pecenka (C)

Center for Vaccine Innovation and Access, PATH, Seattle, WA, USA.

Romina Libster (R)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina. rlibster@infant.org.ar.

Mauricio T Caballero (MT)

Fundación Infant, Gavilán 94, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina. mcaballero@iib.unsam.edu.ar.
Escuela de Bio y Nanotecnologías, Universidad Nacional de San Martín (UNSAM), San Martín, Provincia de Buenos Aires, Argentina. mcaballero@iib.unsam.edu.ar.
Consejo de Investigaciones Cientificas y Tecnicas (CONICET), Buenos Aires, Argentina. mcaballero@iib.unsam.edu.ar.

Classifications MeSH