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Economic evaluation of nasogastric versus intravenous hydration in infants with bronchiolitis

Oakley, Ed, Carter, Rob, Murphy, Bridie, Borland, Meredith, Neutze, Jocelyn, Acworth, Jason, Krieser, David, Dalziel, Stuart, Davidson, Andrew, Donath, Susan, Jachno, Kim, South, Mike and Babl, Franz E. 2016, Economic evaluation of nasogastric versus intravenous hydration in infants with bronchiolitis, Emergency medicine Australasia, In Press, pp. 1-6, doi: 10.1111/1742-6723.12713.

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Title Economic evaluation of nasogastric versus intravenous hydration in infants with bronchiolitis
Author(s) Oakley, Ed
Carter, Rob
Murphy, Bridie
Borland, Meredith
Neutze, Jocelyn
Acworth, Jason
Krieser, David
Dalziel, Stuart
Davidson, Andrew
Donath, Susan
Jachno, Kim
South, Mike
Babl, Franz E.
Journal name Emergency medicine Australasia
Season In Press
Start page 1
End page 6
Total pages 6
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-12-22
ISSN 1742-6723
Keyword(s) bronchiolitis
child
economic evaluation
hydration
intravenous
nasogastric
Summary OBJECTIVE: Bronchiolitis is the most common lower respiratory tract infection in infants and the leading cause of hospitalisation. We aimed to assess whether intravenous hydration (IVH) was more cost-effective than nasogastric hydration (NGH) as a planned secondary economic analysis of a randomised trial involving 759 infants (aged 2-12 months) admitted to hospital with a clinical diagnosis of bronchiolitis and requiring non-oral hydration. No Australian cost data exist to aid clinicians in decision-making around interventions in bronchiolitis.

METHODS: Cost data collections included hospital and intervention-specific costs. The economic analysis was reduced to a cost-minimisation study, focusing on intervention-specific costs of IVH versus NGH, as length of stay was equal between groups. All analyses are reported as intention to treat. RESULTS: Intervention costs were greater for IVH than NGH ($113 vs $74; cost difference of $39 per child). The intervention-specific cost advantage to NGH was robust to inter-site variation in unit prices and treatment activity.

CONCLUSION: Intervention-specific costs account for <10% of total costs of bronchiolitis admissions, with NGH having a small cost saving across all sites.
Language eng
DOI 10.1111/1742-6723.12713
Field of Research 140208 Health Economics
1103 Clinical Sciences
1117 Public Health And Health Services
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090767

Document type: Journal Article
Collection: Population Health
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