Sangam: A Confluence of Knowledge Streams

Costs of management of acute respiratory infections in older adults: extracted cost data

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dc.contributor European Union - Horizon 2020
dc.contributor EFPIA
dc.contributor Lim, Ai Keow
dc.creator Nair, Harish
dc.creator Zhang, Shanshan
dc.date 2022-08-16T09:57:49Z
dc.date 2022-08-16T09:57:49Z
dc.date.accessioned 2023-02-17T20:54:44Z
dc.date.available 2023-02-17T20:54:44Z
dc.identifier Nair, Harish; Zhang, Shanshan. (2022). Costs of management of acute respiratory infections in older adults: extracted cost data, [dataset]. University of Edinburgh. https://doi.org/10.7488/ds/3500.
dc.identifier https://hdl.handle.net/10283/4482
dc.identifier https://doi.org/10.7488/ds/3500
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/244277
dc.description The data that are presented in the excel sheet are the cost data extracted from the individual studies that contribute to the metaanalysis. Background: Acute respiratory infections (ARIs) accounted for an estimated 3.9 million deaths worldwide in 2015, of which 56% occurred in adults aged 60 years or older. We aimed to identify the cost of ARI management in older adults (≥50 years) in order to develop an evidence base to assist decision-making for resource allocation and inform clinical practice. Methods: We searched 8 electronic databases including Global Health, Medline and EMBASE for studies published between 1 January 2000 and 31 December 2021. Total management costs per patient per ARI episode were extracted and meta-analysis was conducted by WHO region and World Bank income level. All costs were a converted and inflated to Euros (€) (2021 average exchange rate). Results: A total of 42 publications were identified for inclusion, reporting cost data for 8,082,752 ARI episodes in older adults across 20 countries from 2001 to 2021. The majority (86%) of studies involved high-income countries based in Europe, North America and Western Pacific. The mean cost per episode was €17,803.9 for inpatient management and €128.9 for outpatient management. Compared with costs reported for patients aged <65 years, inpatient costs were €154.1, €7,018.8 and €8,295.6 higher for patients aged 65-74 years, 75-84 years and over 85 years. ARI management of at-risk patients with comorbid conditions and patients requiring higher level of care, incurred substantially higher costs for hospitalization - €735.9 and €1,317.3 respectively. Conclusions: ARIs impose a substantial economic burden on health systems, governments, patients and societies. This study identified high ARI management costs in older adults, reinforcing calls for investment by global health players to quantify and address the scale of the challenge. There are large gaps in data availability from low-income countries, especially from South East Asia and Africa regions.
dc.format application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
dc.language eng
dc.publisher University of Edinburgh
dc.rights Creative Commons Attribution 4.0 International Public License
dc.subject meta-analysis
dc.subject Acute respiratory infections
dc.subject cost of illness
dc.subject older population
dc.subject systematic review
dc.subject Medicine and Dentistry
dc.title Costs of management of acute respiratory infections in older adults: extracted cost data
dc.type dataset
dc.coverage UK
dc.coverage UNITED KINGDOM
dc.coverage CA
dc.coverage CANADA
dc.coverage CN
dc.coverage CHINA
dc.coverage CZ
dc.coverage CZECHIA
dc.coverage FR
dc.coverage FRANCE
dc.coverage DE
dc.coverage GERMANY
dc.coverage HU
dc.coverage HUNGARY
dc.coverage IN
dc.coverage INDIA
dc.coverage IT
dc.coverage ITALY
dc.coverage JP
dc.coverage JAPAN
dc.coverage KR
dc.coverage KOREA, REPUBLIC OF
dc.coverage NL
dc.coverage NETHERLANDS
dc.coverage NZ
dc.coverage NEW ZEALAND
dc.coverage PL
dc.coverage POLAND
dc.coverage SK
dc.coverage SLOVAKIA
dc.coverage ES
dc.coverage SPAIN
dc.coverage TR
dc.coverage TURKEY
dc.coverage US
dc.coverage UNITED STATES


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