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Sazdanovic PS, Milisavljevic S, Milovanovic DR, Jankovic SM, Baskic D, Ignjatovic R, Ruzic Z, Tomic L, Djordjevic N, Jovanovic D, Stojkovic A, Lazarevic T, Begovic C, Kostic MJ. Total costs of inpatient treatment for COVID-19 in a tertiary hospital in Serbia. Hippokratia 2022; 26:62-69. [PMID: 37188045 PMCID: PMC10177856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
BACKGROUND Our study aimed to identify the total costs of inpatient treatment for coronavirus disease 2019 (COVID-19) in a tertiary institution in Serbia, an upper-middle-income country in Southeast Europe. METHODS An observational, retrospective, cost-of-illness study was performed from the perspective of the National Health Insurance Fund and included a cohort of 78 females and 118 males admitted to the COVID-19 ward units of a tertiary center during the first wave of the pandemic. RESULTS The median of the total costs in the non-survivors subgroup (n =43) was 3,279.16 Euros [interquartile range (IQR): 4,023.34; range: 355.20-9,909.61) which is higher than in the survivors (n =153) subgroup 747.10 Euros (IQR: 1,088.21; 46.71-3,265.91). The cut-off value of 156.46 Euros regarding the total costs per day was estimated to have 95.3 % sensitivity and 91.5 % specificity for predicting patients' dismal prognosis, with the area under the curve (AUC) of 0.968 (95 % confidence interval: 0.940-0.996, p <0.001). CONCLUSIONS Direct medical inpatient treatment costs for COVID-19 represent a significant economic burden. The link between increased costs and an ultimate unfavorable outcome should be further explored.HIPPOKRATIA 2022, 26 (2):62-69.
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Affiliation(s)
- P S Sazdanovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - S Milisavljevic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - D R Milovanovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - S M Jankovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - D Baskic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- Public Health Institute, Kragujevac, Serbia
| | - Ristic Ignjatovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - Zecevic Ruzic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - Lucic Tomic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - N Djordjevic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - D Jovanovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - A Stojkovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | - T Lazarevic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
- University Clinical Centre Kragujevac, Kragujevac, Serbia
| | | | - M J Kostic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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