The cost-utility of early use of high-flow nasal cannula in bronchiolitis

ABSTRACT: Background: High-flow nasal cannula (HFNC) oxygen is a non-invasive ventilation system that was introduced as an alternative to CPAP (continuous positive airway pressure), with a marked increase in its use in pediatric care settings. This study aimed to evaluate the cost-effectiveness of early use of HFNC compared to oxygen by nasal cannula in an infant with bronchiolitis in the emergency setting. Methods: A decision tree model was used to estimate the cost-effectiveness of HFNC compared with oxygen by nasal cannula (control strategy) in an infant with bronchiolitis in the emergency setting. Cost data were obtained from a retrospective study on bronchiolitis from tertiary centers in Rionegro, Colombia, while utilities were collected from the literature. Results: The QALYs per patient calculated in the base-case model were 0.9141 (95% CI 0.913–0.915) in the HFNC and 0.9105 (95% CI 0.910–0.911) in control group. The cost per patient was US$368 (95% CI US$ 323–411) in HFNC and US$441 (95% CI US$ 384–498) per patient in the control group. Conclusions: HFNC was cost-effective HFNC compared to oxygen by nasal cannula in an infant with bronchiolitis in the emergency setting. The use of this technology in emergency settings will allow a more efficient use of resources, especially in low-resource countries with high prevalence of bronchiolitis .

• Autores: Buendía Rodríguez, Jefferson Antonio; Acuña Cordero, Ranniery; Rodríguez Martínez, Carlos Enrique
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2021
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: eng
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/44934
• Acceso en línea: https://hdl.handle.net/10495/44934
• Palabra clave: Economía y Organizaciones para la Atención de la Salud; Health Care Economics and Organizations; Salud Pública; Public Health; Atención a la Salud; Delivery of Health Care; Asma; Asthma; Análisis Costo-Beneficio; Cost-Benefit Analysis; Cánula; Cannula; Oxígeno; Oxygen; https://id.nlm.nih.gov/mesh/D004472; https://id.nlm.nih.gov/mesh/D011634; https://id.nlm.nih.gov/mesh/D003695; https://id.nlm.nih.gov/mesh/D001249; https://id.nlm.nih.gov/mesh/D003362; https://id.nlm.nih.gov/mesh/D000072601; https://id.nlm.nih.gov/mesh/D010100
• Rights: openAccess
• License: https://creativecommons.org/licenses/by/4.0/