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14:39

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[Direct cost of care for acute asthmatic crisis at a pediatric emergency service]

Zoila Inés Ceballos Martínez1, Mónica Esther Peralta Bahena, Luis Sandoval Jurado

  • 1Medico pediatra, Maestria en Ciencias Médicas. zom9@hotmail.com

Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993)
|October 20, 2004
PubMed

Insights

Acute asthma crises in pediatric patients lead to significant hospitalizations and costs. Effective management and education can reduce these burdens in emergency services.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health Economics
  • Respiratory Illness Management

Background:

  • Acute asthma crises are a leading cause of emergency department visits and hospitalizations in second-level hospitals.
  • Pediatric patients represent a significant portion of these emergency admissions for asthma exacerbations.

Purpose of the Study:

  • To assess the frequency and direct costs associated with hospitalizing pediatric patients experiencing acute asthma crises.
  • Focus on second-level care within the Mexican Social Security Service (Instituto Mexicano del Seguro Social, IMSS).

Main Methods:

  • A cohort study was conducted in 2000 involving pediatric patients treated for acute asthma crises.
  • Data collected from a second-level hospital setting.

Main Results:

  • The study included 2,277 pediatric patients with acute asthma crises.
  • 94% of patients responded well to treatment. Peak consultation months were September and October.
  • The average patient was 3 years old, predominantly male (63.4%). Total direct cost was $342,989.80 USD, averaging $28,582.48 USD monthly.

Conclusions:

  • Hospitalization and rehospitalization rates in young children (0-4 years) indicate disease burden.
  • Modifiable factors like understanding triggers, patient education on long-term control, and initial asthma management are key to reducing hospitalization costs.
Abstract

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