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Economic evaluation of nasogastric versus intravenous hydration in infants with bronchiolitis.
- Source :
- Emergency Medicine Australasia; Jun2017, Vol. 29 Issue 3, p324-329, 6p
- Publication Year :
- 2017
-
Abstract
- Objective Bronchiolitis is the most common lower respiratory tract infection in infants and the leading cause of hospitalisation. We aimed to assess whether intravenous hydration ( IVH) was more cost-effective than nasogastric hydration ( NGH) as a planned secondary economic analysis of a randomised trial involving 759 infants (aged 2-12 months) admitted to hospital with a clinical diagnosis of bronchiolitis and requiring non-oral hydration. No Australian cost data exist to aid clinicians in decision-making around interventions in bronchiolitis. Methods Cost data collections included hospital and intervention-specific costs. The economic analysis was reduced to a cost-minimisation study, focusing on intervention-specific costs of IVH versus NGH, as length of stay was equal between groups. All analyses are reported as intention to treat. Results Intervention costs were greater for IVH than NGH ($113 vs $74; cost difference of $39 per child). The intervention-specific cost advantage to NGH was robust to inter-site variation in unit prices and treatment activity. Conclusion Intervention-specific costs account for <10% of total costs of bronchiolitis admissions, with NGH having a small cost saving across all sites. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRONCHIOLE diseases
COST effectiveness
ECONOMICS
FLUID therapy
HOSPITAL care
INTRAVENOUS therapy
MEDICAL needs assessment
MEDICAL care costs
NEONATAL intensive care
RESEARCH funding
RESPIRATORY infections
NEONATAL intensive care units
ACQUISITION of data
NASOENTERAL tubes
DIAGNOSIS
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 17426731
- Volume :
- 29
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Emergency Medicine Australasia
- Publication Type :
- Academic Journal
- Accession number :
- 123187641
- Full Text :
- https://doi.org/10.1111/1742-6723.12713