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Economic evaluation of nasogastric versus intravenous hydration in infants with bronchiolitis
journal contribution
posted on 2017-06-01, 00:00 authored by E Oakley, Rob CarterRob Carter, B Murphy, M Borland, J Neutze, J Acworth, D Krieser, S Dalziel, A Davidson, S Donath, K Jachno, M South, F E BablOBJECTIVE: 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.
History
Journal
Emergency medicine AustralasiaVolume
29Issue
3Pagination
324 - 329Publisher
WileyLocation
London, Eng.Publisher DOI
eISSN
1742-6723Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2016, Australasian College for Emergency Medicine and Australasian Society for Emergency MedicineUsage metrics
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