Direct Medical Costs in Children with Rotavirus and Non-rotavirus Diarrhea Admitted to a Pediatric Intensive Care Unit and High Dependency Unit in Delhi.

Indian Pediatr

Department of Pediatrics, St. Stephens Hospital, Delhi; and Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu; India. Correspondence to: Dr. Ann Mathew, Department of Pediatrics, St Stephens Hospital, Delhi, India.

Published: July 2016

Objective: To estimate direct medical costs of diarrheal hospitalization of children <5 years admitted in pediatric intensive care unit (PICU) or high dependency unit (HDU).

Methods: Analysis of medical records and hospital bills of 84 children during two time frames, 2005-08 and 2012-14.

Results: Direct medical costs in PICU increased from INR 17,941 to INR 50,663 per child for rotavirus diarrhea and INR 11,614 to INR 27,106 for non-rotavirus diarrhea, and in HDU from approximately INR 5,800 to INR 10,500 per child for all-cause diarrhea between the two time frames.

Conclusions: Costs of PICU and HDU care are high and should be included in cost-effectiveness analysis of vaccination.

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http://dx.doi.org/10.1007/s13312-016-0902-4DOI Listing

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