Abstract
Introduction: COVID-19 pandemic imposed a massive impact on constrained healthcare resources especially Intensive Care Units beds. Nevertheless, few studies have explored direct medical costs of ICU admissions and the financial burden associated with them.
Aim: Our aim is to estimate the average direct medical cost of COVID-19 admitted to ICU per patient and per diem as well as the associated financial burden.
Methods: A stochastic financial model was developed in accordance with Kuwait Task Force guidelines for COVID-19 management in ICU.
Results: Our results showed the average cost of COVID-19 patients admitted in the ICU per patient and per diem to be 16,471 KWD (53,354 USD) and 1,643 KWD (5,422 USD) respectively. While the financial burden over one fiscal year amounted to 15,795,830 KWD (52,126,239 USD).
Conclusion: This estimate can guide policy makers, researchers and financial analysts to follow a data driven decisions in planning and budgeting healthcare resources for this concurrent event or similar future events.
References
World Health Organization . WHO Director-General's opening remarks at the media briefing on COVID-19 11 March 2020. 2020. [Accessed 2022 May 31]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Ministry of Health. Kuwait Adult Task Force Recommendation for Management of COVID-19 Adult patients. 2020.
Fair Health. Key Characteristics of COVID-19 Patients. A FAIR Health Brief. July 14 2020. [Accessed 2022 May 31]. Available from: https://s3.amazonaws.com/media2.fairhealth.org/brief/asset/Key%20Characteristics%20of%20COVID19%20Patients%20%20Profiles%20Based%20on%20Analysis%20of%20Private%20Healthcare%20Claims%20-%20A%20FAIR%20Health%20Brief.pdf
Quentin W, Albreht T, Bezzina A, Bryndova L, Dimova A, Gerkens S, et al. Adjusting Hospital Inpatient Payment Systems For COVID-19. Eurohealth. 2020; 26 (2): 88 - 92. [Accessed 2022 May 31]. Available from: https://apps.who.int/iris/handle/10665/336287
Potere N, Valeriani E, Candeloro M, Tana M, Porreca E, Abbate A, et al. Acute complications and mortality in hospitalized patients with coronavirus disease 2019: a systematic review and meta-analysis. Crit Care. 2020 Jul 2;24(1):389. https://doi.org/10.1186/s13054-020-03022-1
Cantoni E, Ronchetti E. A robust approach for skewed and heavy-tailed outcomes in the analysis of health care expenditures. J Health Econ. 2006 Mar;25(2):198-213. https://doi.org/10.1016/j.jhealeco.2005.04.010
Kuwait Government Online. COVID-19 updates (live). State of Kuwait. 2020. [Accessed 2022 May 31]. Available from: https://corona.e.gov.kw/en/Home/CasesByDate
Ayed M, Borahmah AA, Yazdani A, Sultan A, Mossad A, Rawdhan H. Assessment of Clinical Characteristics and Mortality-Associated Factors in COVID-19 Critical Cases in Kuwait. Med Princ Pract. 2021;30(2):185-192. https://doi.org/10.1159/000513047
Hajjar LA, Costa IBSDS, Rizk SI, Biselli B, Gomes BR, Bittar CS, et al. Intensive care management of patients with COVID-19: a practical approach. Ann Intensive Care. 2021 Feb 18;11(1):36. https://doi.org/10.1186/s13613-021-00820-w
Alshukry A, Ali H, Ali Y, Al-Taweel T, Abu-Farha M, AbuBaker J, et al. Clinical characteristics of coronavirus disease 2019 (COVID-19) patients in Kuwait. PLoS One. 2020 Nov 20;15(11):e0242768. https://doi.org/10.1371/journal.pone.0242768
Kipourou DK, Leyrat C, Alsheridah N, Almazeedi S, Al-Youha S, Jamal MH, et al. Correction to: Probabilities of ICU admission and hospital discharge according to patient characteristics in the designated COVID-19 hospital of Kuwait. BMC Public Health. 2021 Jun 22;21(1):1193. https://doi.org/10.1186/s12889-021-11146-4
Zhou X, Cheng Z, Luo L, Zhu Y, Lin W, Ming Z, et al. Incidence and impact of disseminated intravascular coagulation in COVID-19 a systematic review and meta-analysis. Thromb Res. 2021 May;201:23-29. https://doi.org/10.1016/j.thromres.2021.02.010
Waters BL, Michalak AJ, Brigham D, Thakur KT, Boehme A, Claassen J, et al. Incidence of Electrographic Seizures in Patients With COVID-19. Front Neurol. 2021 Feb 4;12:614719. https://doi.org/10.3389/fneur.2021.614719
Fraissé M, Logre E, Pajot O, Mentec H, Plantefève G, Contou D. Thrombotic and hemorrhagic events in critically ill COVID-19 patients: a French monocenter retrospective study. Crit Care. 2020 Jun 2;24(1):275. https://doi.org/10.1186/s13054-020-03025-y
Khan AA, AlRuthia Y, Balkhi B, Alghadeer SM, Temsah MH, Althunayyan SM, et al. Survival and Estimation of Direct Medical Costs of Hospitalized COVID-19 Patients in the Kingdom of Saudi Arabia Int J Environ Res Public Health. 2020 Oct 13;17(20):7458. https://doi.org/10.3390/ijerph17207458
Ohsfeldt RL, Choong CK, Mc Collam PL, Abedtash H, Kelton KA, Burge R. Inpatient Hospital Costs for COVID-19 Patients in the United States. Adv Ther. 2021 Nov;38(11): 5557-5595. https://doi.org/10.1007/s12325-021-01887-4
An X, Xiao L, Yang X, Tang X, Lai F, Liang XH. Economic burden of public health care and hospitalisation associated with COVID-19 in China. Public Health. 2022 Feb;203:65-74. https://doi.org/10.1016/j.puhe.2021.12.001
Špacírová Z, Epstein D, García-Mochón L, Rovira J, Olry de Labry Lima A, Espín J. A general framework for classifying costing methods for economic evaluation of health care. Eur J Health Econ. 2020 Jun;21(4):529-542. https://doi.org/10.1007/s10198-019-01157-9
Bai G, Zare H. Hospital Cost Structure and the Implications on Cost Management During COVID-19. J Gen Intern Med. 2020 Sep;35(9):2807-2809. https://doi.org/10.1007/s11606-020-05996-8
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