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

Jefferson Antonio Buendía (), Ranniery Acuña-Cordero and Carlos E. Rodriguez-Martinez
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Jefferson Antonio Buendía: Universidad de Antioquia
Ranniery Acuña-Cordero: Hospital Militar Central
Carlos E. Rodriguez-Martinez: School of Medicine, Universidad Nacional de Colombia

Health Economics Review, 2021, vol. 11, issue 1, 1-8

Abstract: 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 .

Keywords: Health economics; Public health; Healthcare; Asthma; Oxygen; Cannula (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1186/s13561-021-00339-7

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