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Costs & outcomes of hospitalized scrub typhus infection in a tertiary hospital in south India

Lookup NU author(s): Melvin JoyORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).


Abstract

Background & objectives: Scrub typhus is a rickettsial infection seen along the Asian-Pacific rim and imposes a considerable burden on affected people in low- and middle-income countries. The present study was aimed to determine the direct cost of hospitalization of scrub typhus and its trend over six years. Methods: This was a retrospective, observational, hospital based study of individuals admitted to the hospital, diagnosed with scrub typhus over six years, from January 2013 to December 2018. The potential out of pocket expenditure was evaluated. Results: A total of 198 patients were included in the study. The median cost of admission (adjusted to INR 2020) for the six years (2013 to 2018) was found to be ₹ 37,026 (US $ 490) [interquartile range (IQR) 22,996-64,992]. The median cost for patients admitted to the intensive care unit (ICU) was ₹ 128,046 (US $ 1695) (IQR 71,575-201,171), while the cost for patients admitted to the ward-alone was ₹ 33,232 (US $ 440) (IQR 19,609-45,373). The multivariable analysis showed that ARDS and SOFA score were the independent predictors of ICU admission. Interpretation & conclusions: Hospitalisation for scrub typhus is associated with a substantial healthcare expense. The predictors of increased cost were the presence of acute respiratory distress syndrome (ARDS), shock, increasing sequential organ failure assessment (SOFA) score and duration of hospital stay.


Publication metadata

Author(s): John KJ, George TK, Joy M, John B, Abraham OC, Prasad J

Publication type: Article

Publication status: Published

Journal: Indian Journal of Medical Research

Year: 2023

Volume: 157

Issue: 6

Pages: 559-567

Print publication date: 01/06/2023

Online publication date: 08/07/2023

Acceptance date: 01/06/2023

Date deposited: 13/12/2023

ISSN (print): 0971-5916

Publisher: Wolters Kluwer – Medknow

URL: https://doi.org/10.4103/ijmr.IJMR_3917_20

DOI: 10.4103/ijmr.IJMR_3917_20

PubMed id: 37530311


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