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Survival and Estimation of Direct Medical Costs of Hospitalized COVID-19 Patients in the Kingdom of Saudi Arabia
Content Provider | MDPI |
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Author | Khan, Anas A. Alruthia, Yazed Balkhi, Bander Alghadeer, Sultan M. Temsah, Mohamad-Hani Althunayyan, Saqer M. Alsofayan, Yousef M. |
Copyright Year | 2020 |
Description | Objectives: Assess the survival of hospitalized coronavirus disease 2019 (COVID-19) patients across age groups, sex, use of mechanical ventilators (MVs), nationality, and intensive care unit (ICU) admission in the Kingdom of Saudi Arabia. Methods: Data were retrieved from the Saudi Ministry of Health (MoH) between 1 March and 29 May 2020. Kaplan–Meier (KM) analyses and multiple Cox proportional-hazards regression were conducted to assess the survival of hospitalized COVID-19 patients from hospital admission to discharge (censored) or death. Micro-costing was used to estimate the direct medical costs associated with hospitalization per patient. Results: The number of included patients with complete status (discharge or death) was 1422. The overall 14-day survival was 0.699 (95%CI: 0.652–0.741). Older adults (>70 years) (HR = 5.00, 95%CI = 2.83–8.91), patients on MVs (5.39, 3.83–7.64), non-Saudi patients (1.37, 1.01–1.89), and ICU admission (2.09, 1.49–2.93) were associated with a high risk of mortality. The mean cost per patient (in SAR) for those admitted to the general Medical Ward (GMW) and ICU was 42,704.49 ± 29,811.25 and 79,418.30 ± 55,647.69, respectively. Conclusion: The high hospitalization costs for COVID-19 patients represents a significant public health challenge. Efficient allocation of healthcare resources cannot be emphasized enough. |
Starting Page | 7458 |
e-ISSN | 16604601 |
DOI | 10.3390/ijerph17207458 |
Journal | International Journal of Environmental Research and Public Health |
Issue Number | 20 |
Volume Number | 17 |
Language | English |
Publisher | MDPI |
Publisher Date | 2020-10-13 |
Access Restriction | Open |
Subject Keyword | International Journal of Environmental Research and Public Health Integrative and Complementary Medicine Covid-19 Hospitalization Mortality Health Care Costs Saudi Arabia |
Content Type | Text |
Resource Type | Article |