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The cost-utility of early use of high-flow nasal cannula in bronchiolitis

Author

Listed:
  • Jefferson Antonio Buendía

    (Universidad de Antioquia)

  • Ranniery Acuña-Cordero

    (Hospital Militar Central
    Universidad Militar Nueva Granada)

  • Carlos E. Rodriguez-Martinez

    (School of Medicine, Universidad Nacional de Colombia)

Abstract

Background High-flow nasal cannula (HFNC) oxygen is a non-invasive ventilation system that was introduced as an alternative to CPAP (continuous positive airway pressure), with a marked increase in its use in pediatric care settings. This study aimed to evaluate the cost-effectiveness of early use of HFNC compared to oxygen by nasal cannula in an infant with bronchiolitis in the emergency setting. Methods A decision tree model was used to estimate the cost-effectiveness of HFNC compared with oxygen by nasal cannula (control strategy) in an infant with bronchiolitis in the emergency setting. Cost data were obtained from a retrospective study on bronchiolitis from tertiary centers in Rionegro, Colombia, while utilities were collected from the literature. Results The QALYs per patient calculated in the base-case model were 0.9141 (95% CI 0.913–0.915) in the HFNC and 0.9105 (95% CI 0.910–0.911) in control group. The cost per patient was US$368 (95% CI US$ 323–411) in HFNC and US$441 (95% CI US$ 384–498) per patient in the control group. Conclusions HFNC was cost-effective HFNC compared to oxygen by nasal cannula in an infant with bronchiolitis in the emergency setting. The use of this technology in emergency settings will allow a more efficient use of resources, especially in low-resource countries with high prevalence of bronchiolitis .

Suggested Citation

  • Jefferson Antonio Buendía & Ranniery Acuña-Cordero & Carlos E. Rodriguez-Martinez, 2021. "The cost-utility of early use of high-flow nasal cannula in bronchiolitis," Health Economics Review, Springer, vol. 11(1), pages 1-8, December.
    • Handle: RePEc:spr:hecrev:v:11:y:2021:i:1:d:10.1186_s13561-021-00339-7
    DOI: 10.1186/s13561-021-00339-7
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