{"id":2125,"date":"2021-12-02T00:00:00","date_gmt":"2021-12-02T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/healthcare-cost-attributable-to-bronchiolitis-a-population-based-cohort-study\/"},"modified":"2023-06-14T19:22:22","modified_gmt":"2023-06-14T23:22:22","slug":"healthcare-cost-attributable-to-bronchiolitis-a-population-based-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/healthcare-cost-attributable-to-bronchiolitis-a-population-based-cohort-study\/","title":{"rendered":"Healthcare cost attributable to bronchiolitis: a population-based cohort study"},"content":{"rendered":"<p><strong>Objective <\/strong>&#x2014; To determine 1-year attributable healthcare costs of bronchiolitis.<\/p>\n<p><strong>Methods <\/strong>&#x2014; Using a population-based matched cohort and incidence-based cost analysis approach, we identified infants &lt;12 months old diagnosed in an emergency department (ED) or hospitalized with bronchiolitis between April 1, 2003 and March 31, 2014. We propensity-score matched infants with and without bronchiolitis on sex, age, income quintile, rurality, co-morbidities, gestational weeks, small-for-gestational-age status and pre-index healthcare cost deciles. We calculated mean attributable 1-year costs using a generalized estimating equation model and stratified costs by age, sex, income quintile, rurality, co-morbidities and prematurity.<\/p>\n<p><strong>Results <\/strong>&#x2014; We identified 58,375 infants with bronchiolitis (mean age 154&#xb1;95 days, 61.3% males, 4.2% with comorbidities). Total 1-year mean bronchiolitis-attributable costs were &#x24;4,313 per patient (95%CI: &#x24;4,148-4,477), with &#x24;2,847 (95%CI: &#x24;2,712-2,982) spent on hospitalizations, &#x24;610 (95%CI: &#x24;594-627) on physician services, &#x24;562 (95%CI: &#x24;556-567)] on ED visits, &#x24;259 (95%CI: &#x24;222-297) on other healthcare costs and &#x24;35 (&#x24;27-42) on drugs. Attributable bronchiolitis costs were &#x24;2,765 (95%CI: &#x24;2735-2,794) vs &#x24;111 (95%CI: &#x24;102-121) in the initial 10 days post index date, &#x24;4,695 (95%CI: &#x24;4,589-4,800) vs &#x24;910 (95%CI: &#x24;847-973) in the initial 180 days and &#x24;1,158 (95%CI: &#x24;1,104-1213) vs &#x24;639 (95%CI: &#x24;599-679) during days 181-360. Mean 1-year bronchiolitis costs were higher in infants &lt;3 months old [&#x24;5,536 (95%CI: &#x24;5,216-5,856)], those with co-morbidities [&#x24;17,530 (95%CI: &#x24;14,683-20,377)] and with low birthweight [&#x24;5,509 (95%CI: &#x24;4,927-6,091)].<\/p>\n<p><strong>Conclusions <\/strong>&#x2014; Compared to no bronchiolitis, bronchiolitis incurs five-time and two-time higher healthcare costs within the initial and subsequent six-months, respectively. Most expenses occur in the initial 10 days and relate to hospitalization.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To determine 1-year attributable healthcare costs of bronchiolitis. Methods &#x2014; Using a population-based matched cohort and incidence-based cost analysis approach, we identified infants &lt;12 months old diagnosed in an emergency department (ED) or hospitalized with bronchiolitis between April 1, 2003 and March 31, 2014. We propensity-score matched infants with and without bronchiolitis on [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2125","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Sander B, Finkelstein Y, Lu H, Nagamuthu C, Graves E, Ramsay LC, Kwong JC, Schuh S. <em>PLoS One<\/em>. 2021; 16(12):e0260809. Epub 2021 Dec 2.","source_url":"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8639079\/","ices_scientist":[1362,1149,1229],"site":[6733],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"AFE6DD24-BB35-485E-9D59-12A476632300","sitecore_item_name":"Healthcare-cost-attributable-to-bronchiolitis-a-population-based-cohort-study","sitecore_field_values":"{\n  \"Title\": \"Healthcare cost attributable to bronchiolitis: a population-based cohort study\",\n  \"Short title\": \"Healthcare cost attributable to\",\n  \"Summary\": \"This study aimed to determine 1-year attributable healthcare costs of bronchiolitis.\",\n  \"Citation\": \"<p>Sander B, Finkelstein Y, Lu H, Nagamuthu C, Graves E, Ramsay LC, Kwong JC, Schuh S. <em>PLoS One<\/em>. 2021; 16(12):e0260809. Epub 2021 Dec 2. DOI: <a href=\"https:\/\/doi.org\/10.1371\/journal.pone.0260809\" title=\"Opens external link\">https:\/\/doi.org\/10.1371\/journal.pone.0260809<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Objective <\/strong>&mdash; To determine 1-year attributable healthcare costs of bronchiolitis.<\/p>n<p><strong>Methods <\/strong>&mdash; Using a population-based matched cohort and incidence-based cost analysis approach, we identified infants &lt;12 months old diagnosed in an emergency department (ED) or hospitalized with bronchiolitis between April 1, 2003 and March 31, 2014. We propensity-score matched infants with and without bronchiolitis on sex, age, income quintile, rurality, co-morbidities, gestational weeks, small-for-gestational-age status and pre-index healthcare cost deciles. We calculated mean attributable 1-year costs using a generalized estimating equation model and stratified costs by age, sex, income quintile, rurality, co-morbidities and prematurity.<\/p>n<p><strong>Results <\/strong>&mdash; We identified 58,375 infants with bronchiolitis (mean age 154&plusmn;95 days, 61.3% males, 4.2% with comorbidities). Total 1-year mean bronchiolitis-attributable costs were $4,313 per patient (95%CI: $4,148-4,477), with $2,847 (95%CI: $2,712-2,982) spent on hospitalizations, $610 (95%CI: $594-627) on physician services, $562 (95%CI: $556-567)] on ED visits, $259 (95%CI: $222-297) on other healthcare costs and $35 ($27-42) on drugs. Attributable bronchiolitis costs were $2,765 (95%CI: $2735-2,794) vs $111 (95%CI: $102-121) in the initial 10 days post index date, $4,695 (95%CI: $4,589-4,800) vs $910 (95%CI: $847-973) in the initial 180 days and $1,158 (95%CI: $1,104-1213) vs $639 (95%CI: $599-679) during days 181-360. Mean 1-year bronchiolitis costs were higher in infants &lt;3 months old [$5,536 (95%CI: $5,216-5,856)], those with co-morbidities [$17,530 (95%CI: $14,683-20,377)] and with low birthweight [$5,509 (95%CI: $4,927-6,091)].<\/p>n<p><strong>Conclusions <\/strong>&mdash; Compared to no bronchiolitis, bronchiolitis incurs five-time and two-time higher healthcare costs within the initial and subsequent six-months, respectively. Most expenses occur in the initial 10 days and relate to hospitalization.<\/p>n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8639079\/\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{9F428E7D-3E0F-4597-84DC-22EE87D1A845}|{14489280-87E2-4E37-BCF5-35BDF557014F}|{1B8BF2B2-6CA0-454B-BFCF-1FDA723DFFF0}|{2776AAE8-3E4C-4A6D-B9FD-E41C620EEB12}\",\n  \"Posted Date\": \"20211202T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/December\/Healthcare-cost-attributable-to-bronchiolitis-a-population-based-cohort-study"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Healthcare cost attributable to bronchiolitis: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; To determine 1-year attributable healthcare costs of bronchiolitis. 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