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Cost Effectiveness of Predicting Severity in Leptospirosis

Received: 31 October 2016     Accepted: 21 November 2016     Published: 13 January 2017
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Abstract

The prognosis of leptospirosis depends of severity, early diagnosis and prompt intensive treatment. Only few studies estimate the costs in outbreak of leptospirosis. We aimed to assess the cost effectiveness of predicting severity in leptospirosis by retrospective cohort study of 100 consecutive hospitalized patients with leptospirosis (1976-2015). The prices of service, investigations, drugs and no-medical costs were obtained from valid prices-table of the hospital. Total hospital costs per capita for mild, moderate and severe case were 1184 BGL (Bulgarian Lev=0.5 €), 2111 BGL and 8044 BGL, respectively (ratio 1 to 1.78 to 6.79). The costs for dialysis of severe cases were equal to the costs for drugs and blood products. We concluded that the predicting of severity could be facilitating the decision for prompt treatment including dialysis, decreases the risk for unfavorable outcome and could be decreasing the hospital costs.

Published in International Journal of Health Economics and Policy (Volume 1, Issue 1)
DOI 10.11648/j.hep.20160101.14
Page(s) 20-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Leptospirosis, Prognosis, Cost Effectiveness, Global Burden, Dialysis

References
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  • APA Style

    Galya Ivanova Gancheva. (2017). Cost Effectiveness of Predicting Severity in Leptospirosis. International Journal of Health Economics and Policy, 1(1), 20-25. https://doi.org/10.11648/j.hep.20160101.14

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    Galya Ivanova Gancheva. Cost Effectiveness of Predicting Severity in Leptospirosis. Int. J. Health Econ. Policy 2017, 1(1), 20-25. doi: 10.11648/j.hep.20160101.14

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    AMA Style

    Galya Ivanova Gancheva. Cost Effectiveness of Predicting Severity in Leptospirosis. Int J Health Econ Policy. 2017;1(1):20-25. doi: 10.11648/j.hep.20160101.14

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  • @article{10.11648/j.hep.20160101.14,
      author = {Galya Ivanova Gancheva},
      title = {Cost Effectiveness of Predicting Severity in Leptospirosis},
      journal = {International Journal of Health Economics and Policy},
      volume = {1},
      number = {1},
      pages = {20-25},
      doi = {10.11648/j.hep.20160101.14},
      url = {https://doi.org/10.11648/j.hep.20160101.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20160101.14},
      abstract = {The prognosis of leptospirosis depends of severity, early diagnosis and prompt intensive treatment. Only few studies estimate the costs in outbreak of leptospirosis. We aimed to assess the cost effectiveness of predicting severity in leptospirosis by retrospective cohort study of 100 consecutive hospitalized patients with leptospirosis (1976-2015). The prices of service, investigations, drugs and no-medical costs were obtained from valid prices-table of the hospital. Total hospital costs per capita for mild, moderate and severe case were 1184 BGL (Bulgarian Lev=0.5 €), 2111 BGL and 8044 BGL, respectively (ratio 1 to 1.78 to 6.79). The costs for dialysis of severe cases were equal to the costs for drugs and blood products. We concluded that the predicting of severity could be facilitating the decision for prompt treatment including dialysis, decreases the risk for unfavorable outcome and could be decreasing the hospital costs.},
     year = {2017}
    }
    

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    T1  - Cost Effectiveness of Predicting Severity in Leptospirosis
    AU  - Galya Ivanova Gancheva
    Y1  - 2017/01/13
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    T2  - International Journal of Health Economics and Policy
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    UR  - https://doi.org/10.11648/j.hep.20160101.14
    AB  - The prognosis of leptospirosis depends of severity, early diagnosis and prompt intensive treatment. Only few studies estimate the costs in outbreak of leptospirosis. We aimed to assess the cost effectiveness of predicting severity in leptospirosis by retrospective cohort study of 100 consecutive hospitalized patients with leptospirosis (1976-2015). The prices of service, investigations, drugs and no-medical costs were obtained from valid prices-table of the hospital. Total hospital costs per capita for mild, moderate and severe case were 1184 BGL (Bulgarian Lev=0.5 €), 2111 BGL and 8044 BGL, respectively (ratio 1 to 1.78 to 6.79). The costs for dialysis of severe cases were equal to the costs for drugs and blood products. We concluded that the predicting of severity could be facilitating the decision for prompt treatment including dialysis, decreases the risk for unfavorable outcome and could be decreasing the hospital costs.
    VL  - 1
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Author Information
  • Department of Infectious Diseases, Epidemiology, Parasitology and Tropical Medicine, Faculty of Public Health, Medical University-Pleven, Pleven, Bulgaria

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