Costs of admission for paediatric pneumonia in a setting of human immunodeficiency virus infection
OBJECTIVE: To determine the hospital costs of children (HIV-infected vs. non-HIV-infected) admitted for the management of pneumonia and compare them in the public and fee-for-service sectors.
METHODS: A retrospective review of paediatric admissions in 2007 was performed. Costs were determined for the public and fee-for-service sectors. Outcome measures included hospital mortality and comparative costs of admission.
RESULTS: There were 132 admissions in a public sector facility (67% HIV-infected), and 7882 in the fee-fors ervice sector (1.2% HIV-infected). Total mortality was respectively 25% in the public and 0.04% in the fee-forservice sectors. The mean cost for HIV-infected patients was respectively US$639.06 and US$10 540.04 in the public and fee-for-service sectors. For non-HIV-infected patients, the cost was respectively US$399.45 and US$3936.87. Length of stay for HIV-infected patients was longer by respectively 1.8 days and 5.7 days in the public sector among admissions to the ward and to the paediatric intensive care unit.
CONCLUSION: Admission for HIV-infected children with pneumonia costs significantly more in both sectors. Preventive strategies are needed.
Document Type: Short Communication
Affiliations: 1: Department of Paediatrics and Child Health, Steve Biko Academic Hospital, Pretoria, South Africa 2: Outcomes Consultants, Pretoria, South Africa 3: Biostatistics Unit, Medical Research Council of South Africa, Pretoria, South Africa
Publication date: December 1, 2011
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