Cost of hospitalization for bronchiectasis exacerbation in children

Vikas Goyal1,2,3, Steven M McPhail4,5, Frank Hurley6

  • 1Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, QLD, Australia.

Respirology (Carlton, Vic.)
|May 3, 2020
PubMed

Insights

Hospitalizations for pediatric bronchiectasis exacerbations are costly, averaging over AUD 30,000 per episode. Shorter hospital stays and fewer affected lung lobes can reduce these significant healthcare costs.

Area of Science:

  • Pediatric Pulmonology
  • Health Economics
  • Epidemiology

Background:

  • Paediatric bronchiectasis is increasingly recognized globally.
  • Limited data exists on hospitalization costs for pediatric bronchiectasis.

Purpose of the Study:

  • To identify health service costs of hospitalizations for pediatric bronchiectasis exacerbations.
  • To determine factors associated with these hospitalization costs in children.

Main Methods:

  • Prospective data collection on 100 hospitalizations in 80 children (<18 years) at a Queensland paediatric hospital.
  • Analysis of demographic data, hospital resource use, and direct health service costs (2016 AUD).
  • Linear regression with bootstrap resampling to identify cost-associated factors.

Main Results:

  • The mean direct health service cost was AUD 30,182 per hospitalization (12.30 days length of stay).
  • Health professional wages constituted 70% of the cost per episode.
  • Longer length of stay, younger age, and more affected lung lobes increased costs; Home and Community Care services reduced costs.

Conclusions:

  • Hospitalizations for pediatric bronchiectasis exacerbations represent a substantial healthcare cost burden.
  • Interventions preventing exacerbations and reducing disease severity can lead to significant cost savings.
Abstract

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