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Vol. 48. Issue 2.
Pages 142-148 (March - April 2020)
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Vol. 48. Issue 2.
Pages 142-148 (March - April 2020)
Original Article
DOI: 10.1016/j.aller.2019.06.015
Direct medical costs of pediatric asthma exacerbations requiring hospital attendance in a middle-income country
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C.E. Rodriguez-Martineza,b,
Corresponding author
carerodriguezmar@unal.edu.co

Corresponding author.
, M.P. Sossa-Briceñoc, J.A. Castro-Rodriguezd
a Department of Pediatrics, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
b Department of Pediatric Pulmonology and Pediatric Critical Care Medicine, School of Medicine, Universidad El Bosque, Bogota, Colombia
c Department of Internal Medicine, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
d Division of Pediatrics, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
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Tables (3)
Table 1. Study population characteristics categorized by the hospital service to which the patient was admitteda.
Table 2. Unit costs of direct medical items and health care servicesa.
Table 3. Total median costs associated with asthma exacerbations categorized by the hospital service to which the patient was admitteda.
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Abstract
Introduction and objectives

With the aim of making informed decisions on resource allocation, there is a critical need for studies that provide accurate information on hospital costs for treating pediatric asthma exacerbations, mainly in middle-income countries (MICs). The aim of the present study was to evaluate the direct medical costs associated with pediatric asthma exacerbations requiring hospital attendance in Bogota, Colombia.

Patients and methods

We reviewed the available electronic medical records (EMRs) for all pediatric patients who were admitted to the Fundacion Hospital de La Misericordia with a discharge principal diagnosis pediatric asthma exacerbation over a 24-month period from January 2016 to December 2017. Direct medical costs of pediatric asthma exacerbations were retrospectively collected by dividing the patients into four groups: those admitted to the emergency department (ED) only; those admitted to the pediatric ward (PW); those admitted to the pediatric intermediate care unit (PIMC); and those admitted to the pediatric intensive care unit (PICU).

Results

A total of 252 patients with a median (IQR) age of 5.0 (3.0–7.0) years were analyzed, of whom 142 (56.3%) were males. Overall, the median (IQR) cost of patients treated in the ED, PW, PIMC, and PICU was US$38.8 (21.1–64.1) vs. US$260.5 (113.7–567.4) vs. 1212.4 (717.6–1609.6) vs. 2501.8 (1771.6–3405.0), respectively: this difference was statistically significant (p<0.001).

Conclusions

The present study helps to further our understanding of the economic burden of pediatric asthma exacerbations requiring hospital attendance among pediatric patients in a MIC.

Keywords:
Asthma attack
Direct cost items
Health economics
Hospitalization costs
Length of stay

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