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Emergency department-initiated home oxygen for viral bronchiolitis: A cost-effectiveness analysis.
Rodríguez-Martínez, Carlos E; Sossa-Briceño, Monica P; Nino, Gustavo.
Afiliação
  • Rodríguez-Martínez CE; Department of Pediatrics, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia.
  • Sossa-Briceño MP; Department of Pediatric Pulmonology, School of Medicine, Universidad El Bosque, Bogota, Colombia.
  • Nino G; Department of Internal Medicine, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia.
Pediatr Pulmonol ; 57(9): 2154-2160, 2022 09.
Article em En | MEDLINE | ID: mdl-35621083
OBJECTIVE: The use of emergency department (ED)-initiated outpatient oxygen therapy has been considered to be a possible alternative to hospitalization for otherwise healthy-appearing, well-hydrated infants with uncomplicated disease. However, a formal economic evaluation of this treatment strategy is lacking. The aim of the present study was to compare the cost-effectiveness of ED-initiated outpatient oxygen therapy versus conventional inpatient hospitalization in infants with uncomplicated hypoxic bronchiolitis living in Bogota, the high-altitude capital city of Colombia, a middle-income country (MIC). METHODS: A decision analysis model was developed to estimate the cost-effectiveness of ED-initiated outpatient oxygen therapy versus hospitalization. The main outcome of the model was avoidance of admission to a high-dependency unit. RESULTS: Compared to hospitalization, ED-initiated outpatient oxygen therapy was associated with lower total costs (US$306.7 vs. US$638.7 average cost per patient) and a higher probability of avoidance of admission to a high-dependency unit (0.9528 vs. 0.8960), thus leading to dominance. The results were robust to deterministic and probabilistic sensitivity analyses. CONCLUSIONS: Our study suggests that in infants attending the ED with an uncomplicated hypoxic bronchiolitis episode in the city of Bogota, a high-altitude city, ED-initiated outpatient oxygen therapy is a dominant strategy compared to conventional inpatient hospitalization, because it involves a higher probability of avoidance of admission to a high-dependency unit, at lower total treatment costs.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bronquiolite / Bronquiolite Viral Tipo de estudo: Health_economic_evaluation / Prognostic_studies Limite: Humans / Infant Idioma: En Revista: Pediatr Pulmonol Assunto da revista: PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bronquiolite / Bronquiolite Viral Tipo de estudo: Health_economic_evaluation / Prognostic_studies Limite: Humans / Infant Idioma: En Revista: Pediatr Pulmonol Assunto da revista: PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos