Detail
Article
Online article
FT
Medvik - BMC
  • Something wrong with this record ?

Estimation of long-term costs of postacute care in survivors of the methanol poisoning outbreak

M. Barták, V. Rogalewicz, J. Doubek, J. Šejvl, B. Petruželka, S. Zakharov, M. Miovský

. 2021 ; 11 (5) : e043037. [pub] 20210519

Language English Country Great Britain

Document type Journal Article, Research Support, Non-U.S. Gov't

Persistent link   https://www.medvik.cz/link/bmc21018590

OBJECTIVES: To fill the existing research gap related to long-term costs of postacute care in methanol poisoning survivors, healthcare cost for 6 years after the outbreak has been modelled and estimated. DESIGN: In a prospective longitudinal cohort study, data collected from 55 survivors of the Czech methanol mass poisoning outbreak in 2012 were collected in four rounds (5 months, then 2, 4 and 6 years after the discharge) in the General University Hospital in Prague according to the same predefined study protocol. The collected data were used to inform the cost model. SETTING AND PARTICIPANTS: All 83 patients discharged from a hospital poisoning treatment after the 2012 methanol outbreak were informed about the study and invited to participate. Fifty-five patients (66%) gave their written informed consent and were followed until their death or the last follow-up 6 years later. The costs were modelled from the Czech healthcare service (general health insurance) perspective. MAIN OUTCOME MEASURES: Long-term national budget impact of the methanol poisoning outbreak, frequencies of sequelae and their average costs. RESULTS: The postacute cost analysis concentrated on visual and neurological sequelae that were shown to be dominant. Collected data were used to create process maps portraying gradual changes in long-term sequelae over time. Individual process maps were created for the central nervous system, peripheral nervous system, sequelae detected during eye examinations and sequelae concerning the visual evoked potentials. Based on the process maps the costs of the postacute outpatient care were estimated. CONCLUSIONS: In 2013-2019 the highest costs per patient related to postacute care were found in the first year; the average costs decreased afterwards, and remained almost constant for the rest of the studied period of time. These costs per patient ranged from CZK4142 in 2013 to CZK1845 in 2018, when they raised to CZK2519 in 2019 again.

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21018590
003      
CZ-PrNML
005      
20211207102035.0
007      
ta
008      
210728s2021 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1136/bmjopen-2020-043037 $2 doi
035    __
$a (PubMed)34011582
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Barták, Miroslav $u Department of Addictology, Charles University, First Faculty of Medicine, Praha, Czech Republic miroslav.bartak@lf1.cuni.cz $u General University Hospital in Prague, Praha, Czech Republic
245    10
$a Estimation of long-term costs of postacute care in survivors of the methanol poisoning outbreak / $c M. Barták, V. Rogalewicz, J. Doubek, J. Šejvl, B. Petruželka, S. Zakharov, M. Miovský
520    9_
$a OBJECTIVES: To fill the existing research gap related to long-term costs of postacute care in methanol poisoning survivors, healthcare cost for 6 years after the outbreak has been modelled and estimated. DESIGN: In a prospective longitudinal cohort study, data collected from 55 survivors of the Czech methanol mass poisoning outbreak in 2012 were collected in four rounds (5 months, then 2, 4 and 6 years after the discharge) in the General University Hospital in Prague according to the same predefined study protocol. The collected data were used to inform the cost model. SETTING AND PARTICIPANTS: All 83 patients discharged from a hospital poisoning treatment after the 2012 methanol outbreak were informed about the study and invited to participate. Fifty-five patients (66%) gave their written informed consent and were followed until their death or the last follow-up 6 years later. The costs were modelled from the Czech healthcare service (general health insurance) perspective. MAIN OUTCOME MEASURES: Long-term national budget impact of the methanol poisoning outbreak, frequencies of sequelae and their average costs. RESULTS: The postacute cost analysis concentrated on visual and neurological sequelae that were shown to be dominant. Collected data were used to create process maps portraying gradual changes in long-term sequelae over time. Individual process maps were created for the central nervous system, peripheral nervous system, sequelae detected during eye examinations and sequelae concerning the visual evoked potentials. Based on the process maps the costs of the postacute outpatient care were estimated. CONCLUSIONS: In 2013-2019 the highest costs per patient related to postacute care were found in the first year; the average costs decreased afterwards, and remained almost constant for the rest of the studied period of time. These costs per patient ranged from CZK4142 in 2013 to CZK1845 in 2018, when they raised to CZK2519 in 2019 again.
650    _2
$a epidemický výskyt choroby $7 D004196
650    _2
$a zrakové evokované potenciály $7 D005074
650    _2
$a náklady na zdravotní péči $7 D017048
650    _2
$a lidé $7 D006801
650    _2
$a longitudinální studie $7 D008137
650    12
$a methanol $7 D000432
650    12
$a otrava $x epidemiologie $7 D011041
650    _2
$a prospektivní studie $7 D011446
650    _2
$a subakutní péče $7 D019467
650    _2
$a přežívající $7 D017741
655    _2
$a časopisecké články $7 D016428
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Rogalewicz, Vladimír $u Department of Addictology, Charles University, First Faculty of Medicine, Praha, Czech Republic
700    1_
$a Doubek, Jaroslav $u Department of Biomedical Technology, Czech Technical University in Prague, Faculty of Biomedical Engineering, Kladno, Czech Republic
700    1_
$a Šejvl, Jaroslav, $u Department of Addictology, Charles University, First Faculty of Medicine, Praha, Czech Republic $u General University Hospital in Prague, Praha, Czech Republic $d 1976- $7 jx20070626039
700    1_
$a Petruželka, Benjamin $u Department of Addictology, Charles University, First Faculty of Medicine, Praha, Czech Republic $u General University Hospital in Prague, Praha, Czech Republic
700    1_
$a Zakharov, Sergey $u Department of Occupational Medicine with Toxicological Information Centre, General University Hospital in Prague, Praha, Czech Republic $u Department of Occupational Medicine with Toxicological Information Centre, Charles University, First Faculty of Medicine, Praha, Czech Republic
700    1_
$a Miovský, Michal $u Department of Addictology, Charles University, First Faculty of Medicine, Praha, Czech Republic $u General University Hospital in Prague, Praha, Czech Republic
773    0_
$w MED00184484 $t BMJ open $x 2044-6055 $g Roč. 11, č. 5 (2021), s. e043037
856    41
$u https://pubmed.ncbi.nlm.nih.gov/34011582 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20210728 $b ABA008
991    __
$a 20211207102032 $b ABA008
999    __
$a ok $b bmc $g 1689626 $s 1139036
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 11 $c 5 $d e043037 $e 20210519 $i 2044-6055 $m BMJ open $n BMJ Open $x MED00184484
LZP    __
$a Pubmed-20210728

Find record

Citation metrics

Archiving options