Análisis de costo-efectividad de la atención fonoaudiológica especializada en deglución en recién nacidos pretérmino en la Unidad de Cuidados Intensivos Neonatales en Colombia

The cost-effectiveness of AFAED in treating PTNB in the NICU is unknown. Of interest are the possible economic implications of using it as standard treatment. This study evaluated the costs and effectiveness of this care. Methods. A CEA of AFAED vs. traditional care was performed in a cohort of PTNBW infants treated in a NICU in Barranquilla (Colombia). Direct costs of care were estimated from a third-party payer perspective. Weight gain and hospital stay were the measures of effectiveness. CER for each alternative and ICER were estimated. Results. The average cost of stay with AFAED was COP $28,642,524 (SD: 21,515,021) and with traditional treatment, COP $41,532,597 (SD: 35,649,081). The average length of stay for AFAED was 20.55 days (SD: 13.31) versus 29.00 (SD: 22.73). The average weight gain was higher in those treated with AFAED (29.66 g - SD: 66.38 - vs. 23.06 - SD: 95.12). The RCEI was COP$ -93,585.60 per g-day of weight gained. Discussion. The effectiveness indicator (average weight gain) was higher, and the average costs per patient were slightly lower in patients with AFAED, ment a better cost-effectiveness ratio of this treatment strategy. Simulation of different scenarios in which the cost of professional fees and length of stay in the NICU increased or decreased by 15% and 30% showed that AFAED is the dominant alternative

• Autores: Eusse Solano, Paola Andrea; Beleño Rico, Indira Paola
• Fecha de publicación: 2022
• Institución: Corporación Universidad de la Costa
• Repositorio: REDICUC - Repositorio CUC
• Idioma: spa
• OAI Identifier: oai:repositorio.cuc.edu.co:11323/9569
• Acceso en línea: https://hdl.handle.net/11323/9569; https://repositorio.cuc.edu.co/
• Palabra clave: Intensive Care Units; Neonatal; Cost-effectiveness analysis; Infant; Premature; Feeding behavior; Physical stimulation / methods; Speech therapy; Weight gain; Length of stay; Cuidado Intensivo Neonatal; Estimulación física; Fonoaudiología; Aumento de peso; Evaluación de costo-efectividad; Recién nacido prematuro; Conducta alimentaria; Tiempo de internación
• Rights: openAccess
• License: Atribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)