Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010
This article was published in the Influenza and other Respiratory Viruses [© 2014 Blackwell Publishing Ltd.] and The Journal's website is at: http://onlinelibrary.wiley.com/doi/10.1111/irv.12254/abstract
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© 2014 Blackwell Publishing Ltd.
2017
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| Առցանց հասանելիություն: | http://hdl.handle.net/10361/7629 http://doi.org/10.1111/irv.12254 |
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10361-76292017-01-22T08:57:21Z Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 Bhuiyan, Mejbah U. Luby, Stephen P. Alamgir, Nadia I. Homaira, Nusrat Mamun, Abdullah A. Khan, Jahangir A. M. Abedin, Jaynal Sturm-Ramirez, Katharine Gurley, Emily S. Zaman, Rashid U. Alamgir, ASM Rahman, Mahmudur Widdowson, Marc-Alain Azziz-Baumgartner, Eduardo James P Grant School of Public Health, BRAC University Cost Hospitalization Influenza Outpatient Bangladesh This article was published in the Influenza and other Respiratory Viruses [© 2014 Blackwell Publishing Ltd.] and The Journal's website is at: http://onlinelibrary.wiley.com/doi/10.1111/irv.12254/abstract Objective: Understanding the costs of influenza-associated illness in Bangladesh may help health authorities assess the cost-effectiveness of influenza prevention programs. We estimated the annual economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh. Design: From May through October 2010, investigators identified both outpatients and inpatients at four tertiary hospitals with laboratory-confirmed influenza infection through rRT-PCR. Research assistants visited case-patients' homes within 30 days of hospital visit/discharge and administered a structured questionnaire to capture direct medical costs (physician consultation, hospital bed, medicines and diagnostic tests), direct non-medical costs (food, lodging and travel) and indirect costs (case-patients' and caregivers' lost income). We used WHO-Choice estimates for routine healthcare service costs. We added direct, indirect and healthcare service costs to calculate cost-per-episode. We used median cost-per-episode, published influenza-associated outpatient and hospitalization rates and Bangladesh census data to estimate the annual economic burden of influenza-associated illnesses in 2010. Results: We interviewed 132 outpatients and 41 hospitalized patients. The median cost of an influenza-associated outpatient visit was US$4.80 (IQR = 2.93-8.11) and an influenza-associated hospitalization was US$82.20 (IQR = 59.96-121.56). We estimated that influenza-associated outpatient visits resulted in US$108 million (95% CI: 76-147) in direct costs and US$59 million (95% CI: 37-91) in indirect costs; influenza-associated hospitalizations resulted in US$1.4 million (95% CI: 0.4-2.6) in direct costs and US$0.4 million (95% CI: 0.1-0.8) in indirect costs in 2010. Conclusions: In Bangladesh, influenza-associated illnesses caused an estimated US$169 million in economic loss in 2010, largely driven by frequent but low-cost outpatient visits. Published 2017-01-22T07:01:35Z 2017-01-22T07:01:35Z 2014 Article Bhuiyan, M. U., Luby, S. P., Alamgir, N. I., Homaira, N., Mamun, A. A., Khan, J. A. M., . . . Azziz-Baumgartner, E. (2014). Economic burden of influenza-associated hospitalizations and outpatient visits in bangladesh during 2010. Influenza and Other Respiratory Viruses, 8(4), 406-413. doi:10.1111/irv.12254 17502640 http://hdl.handle.net/10361/7629 http://doi.org/10.1111/irv.12254 en http://onlinelibrary.wiley.com/doi/10.1111/irv.12254/abstract © 2014 Blackwell Publishing Ltd. |
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Brac University |
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Institutional Repository |
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English |
| topic |
Cost Hospitalization Influenza Outpatient Bangladesh |
| spellingShingle |
Cost Hospitalization Influenza Outpatient Bangladesh Bhuiyan, Mejbah U. Luby, Stephen P. Alamgir, Nadia I. Homaira, Nusrat Mamun, Abdullah A. Khan, Jahangir A. M. Abedin, Jaynal Sturm-Ramirez, Katharine Gurley, Emily S. Zaman, Rashid U. Alamgir, ASM Rahman, Mahmudur Widdowson, Marc-Alain Azziz-Baumgartner, Eduardo Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 |
| description |
This article was published in the Influenza and other Respiratory Viruses [© 2014 Blackwell Publishing Ltd.] and The Journal's website is at: http://onlinelibrary.wiley.com/doi/10.1111/irv.12254/abstract |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University Bhuiyan, Mejbah U. Luby, Stephen P. Alamgir, Nadia I. Homaira, Nusrat Mamun, Abdullah A. Khan, Jahangir A. M. Abedin, Jaynal Sturm-Ramirez, Katharine Gurley, Emily S. Zaman, Rashid U. Alamgir, ASM Rahman, Mahmudur Widdowson, Marc-Alain Azziz-Baumgartner, Eduardo |
| format |
Article |
| author |
Bhuiyan, Mejbah U. Luby, Stephen P. Alamgir, Nadia I. Homaira, Nusrat Mamun, Abdullah A. Khan, Jahangir A. M. Abedin, Jaynal Sturm-Ramirez, Katharine Gurley, Emily S. Zaman, Rashid U. Alamgir, ASM Rahman, Mahmudur Widdowson, Marc-Alain Azziz-Baumgartner, Eduardo |
| author_sort |
Bhuiyan, Mejbah U. |
| title |
Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 |
| title_short |
Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 |
| title_full |
Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 |
| title_fullStr |
Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 |
| title_full_unstemmed |
Economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010 |
| title_sort |
economic burden of influenza-associated hospitalizations and outpatient visits in bangladesh during 2010 |
| publisher |
© 2014 Blackwell Publishing Ltd. |
| publishDate |
2017 |
| url |
http://hdl.handle.net/10361/7629 http://doi.org/10.1111/irv.12254 |
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