Hospitalization Costs of COVID-19 Cases and Their Associated Factors in Guangdong, China: A Cross-Sectional Study
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AbstractBackground:
The ongoing COVID-19 pandemic has brought significant challenges to health system and consumed a lot of health resources. However, evidence on the hospitalization costs and their associated factors in COVID-19 cases is scarce.

Objectives:
To describe the total and components of hospitalization costs of COVID-19 cases, and investigate the associated factors of costs.

Methods:
We included 876 confirmed COVID-19 cases admitted to 33 designated hospitals from January 15th to April 27th, 2020 in Guangdong, China, and collected their demographic and clinical information. A multiple linear regression model was performed to estimate the associations of hospitalization costs with potential associated factors.

Results:
The median of total hospitalization costs of COVID-19 cases was $2,869.4 (IQR: $3,916.8). We found higher total costs in male (% difference: 29.7, 95% CI: 15.5, 45.6) than in female cases, in older cases than in younger ones, in severe cases (% difference: 344.8, 95% CI: 222.5, 513.6) than in mild ones, in cases with clinical aggravation than those without, in cases with clinical symptoms (%difference: 47.7, 95% CI: 26.2, 72.9) than those without, and in cases with comorbidities (% difference: 21.1%, 21.1, 95% CI: 4.4, 40.6) than those without. We also found lower non-pharmacologic therapy costs in cases treated with traditional Chinese medicine (TCM) therapy (% difference: −47.4, 95% CI: −64.5 to −22.0) than cases without.

Conclusion:
The hospitalization costs of COVID-19 cases in Guangdong were comparable to the national level. Factors associated with higher hospitalization costs included sex, older age, clinical severity and aggravation, clinical symptoms and comorbidities at admission. TCM therapy was found to be associated with lower costs for some non-pharmacologic therapies.
Acceptance Date19/05/2021
All Author(s) ListDong M, Yang ZY, Chen YY, Sun JF, Ma WJ, Cheng SZ, Sun XL, Xiao JP, He GH, Hu JX, Wang JQ, Chen GM, Zhou H, Yuan L, Li JL, Li X, Xu H, Wang RJ, Chen DZ, Fang M, Liu T
Journal nameFrontiers in Medicine
Detailed descriptionYang ZY (co-1st)
Year2021
Month6
Volume Number8
PublisherFrontiers Media
Article number655231
ISSN2296-858X
LanguagesEnglish-United Kingdom
KeywordsCOVID-19, hospitalization costs, associated factors, traditional Chinese medicine therapy, China

Last updated on 2021-28-11 at 23:57