在印度南部的一个儿科队列中,发烧的住院率和直接医疗费用

M. Srinivasan, K. Sindhu, Atrayee Nag, Arun S. Karthikeyan, R. Ramasamy, Malathi Murugesan, Dilesh Kumar, S. Ganesan, W. Rose, G. Kang, J. John
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引用次数: 0

摘要

背景住院原因和费用的原始数据是成本和成本效益分析所必需的。关于印度儿童住院的发生率和原因以及由此产生的费用的数据有限。方法在2016-2017年Vellore伤寒研究项目和2017-2019年肠道发热监测项目下,对6000名居住在Vellore城市的0.5-15岁儿童进行为期3年的随访。通过研究现场工作人员每周随访,从护理人员处获得住院事件和相关抗生素使用的数据,以及与发烧相关住院的直接医疗费用。结果住院率为33 / 1000儿童年。0.5 ~ 5岁儿童住院率最高。住院的前5位感染原因分别是急性未分化热、呼吸道感染、急性肠胃炎、肠道热和登革热。发烧住院总中位数费用为4243印度卢比(四分位数范围为2502-7215)。登革热发作的中位成本为5627印度卢比,随后是急性未分化发热和肠热,中位成本分别为3860和3507印度卢比。结论在印度低收入家庭中,幼儿因发烧住院很常见,并影响家庭财务状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospitalization Rates and Direct Medical Costs for Fever in a Pediatric Cohort in South India
Abstract Background Primary data on causes and costs of hospitalization are necessary for costing and cost-effectiveness analysis. Data on incidence and causes of hospitalization and consequent expenses among Indian children are limited. Methods A cohort of 6000 children aged 0.5–15 years residing in urban Vellore was followed for 3 years, under the Vellore Typhoid Study, 2016–2017, and later under the Surveillance for Enteric Fever project, 2017–2019. Data on hospitalization events and associated antibiotic use, and direct medical costs for fever-related hospitalization of study children were obtained from caregivers through weekly follow-up by study field workers. Results The incidence of hospitalization was 33 per 1000 child-years of observation. Children aged 0.5–5 years had the highest incidence of hospitalization. The top 5 infectious causes for hospitalization were acute undifferentiated fevers, respiratory tract infections, acute gastroenteritis, enteric fever, and dengue. The overall median cost of hospitalization for fever was 4243 (interquartile range, 2502–7215) Indian rupees (INR). An episode of dengue had a median cost of 5627 INR, followed by acute undifferentiated fevers and enteric fever with median costs of 3860 and 3507 INR, respectively. Conclusions Hospitalization for fever is common in young children and impacts household finances in low-income Indian households.
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