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Cost-effectiveness of diagnostic approaches to vasovagal syncope in children and adolescents in China: a health economic analysis
Li Ya-wen1; Chen Li2; Du Jun-bao2; Yang Yuan-yuan3; Jin Hong-fang2
关键词Vasovagal Syncope Diagnosis Economics Children
刊名CHINESE MEDICAL JOURNAL
2010-10-05
DOI10.3760/cma.j.issn.0366-6999.2010.19.003
123期:19页:2635-2639
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]NEURALLY-MEDIATED SYNCOPE ; UP TILT TEST ; EMERGENCY-DEPARTMENT ; MANAGEMENT ; PROTOCOL ; IMPACT
英文摘要

Background Syncope is a common clinical problem with multiple causes. Vasovagal syncope (VVS) is by far the most frequent cause of syncope in children and adolescents. The traditional diagnostic approach to VVS of children and adolescents is based on a series of tests to exclude all other causes, which is complex and time and medical resource consuming. Attempts have been made to develop a new cost-effective diagnostic approach to avoid these problems. This study aimed to compare the economic effectiveness and diagnostic value of the traditional diagnostic approach to VVS of children with a new diagnostic approach.

Methods One hundred and eighteen children diagnosed as VVS were divided into two groups according to the different diagnostic approaches. The diagnostic value of the two diagnostic approaches was then analyzed. Meanwhile, the costs of hospitalization, diagnostic testing and hospital stay were determined. Data were evaluated by the cost-minimization analysis.

Results The diagnostic value of the new diagnostic approach was similar to that of the traditional diagnostic approach (56.57% vs. 53.91%, P=0.697). However, the cost of hospitalization per patient by the new diagnostic approach was (1507.08 +/- 144.63) Yuan (RMB) which was less than that of the traditional diagnostic approach (2603.64 +/- 208.19) Yuan. The costs of diagnostic tests per patient by the new diagnostic approach was (1256.04 +/- 109.14) Yuan and by the traditional approach (2175.22 +/- 153.32) Yuan.

Conclusion Compared to the traditional diagnostic approach to diagnose VVS in children and adolescents, the new diagnostic approach is of a good economic value, and it should be popularized in clinical practice. Chin Med J 2010;123(19):2635-2639

语种英语
WOS记录号WOS:000283562300003
项目编号307001 ; 2004BA720A10
资助机构Capital Medical Development Scientific Project ; Ministry of Education, China ; National Tenth Five-year Plan Project
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56466
专题北京大学第一临床医学院_儿科
北京大学护理学院_护理学院
作者单位1.Beijing Univ Posts & Telecommun, Sch Econ & Management, Beijing 102209, Peoples R China
2.Peking Univ, Hosp 1, Dept Pediat, Beijing 100034, Peoples R China
3.Peking Univ, Sch Nursing, Hlth Sci Ctr, Beijing 100191, Peoples R China
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GB/T 7714
Li Ya-wen,Chen Li,Du Jun-bao,et al. Cost-effectiveness of diagnostic approaches to vasovagal syncope in children and adolescents in China: a health economic analysis[J]. CHINESE MEDICAL JOURNAL,2010,123(19):2635-2639.
APA Li Ya-wen,Chen Li,Du Jun-bao,Yang Yuan-yuan,&Jin Hong-fang.(2010).Cost-effectiveness of diagnostic approaches to vasovagal syncope in children and adolescents in China: a health economic analysis.CHINESE MEDICAL JOURNAL,123(19),2635-2639.
MLA Li Ya-wen,et al."Cost-effectiveness of diagnostic approaches to vasovagal syncope in children and adolescents in China: a health economic analysis".CHINESE MEDICAL JOURNAL 123.19(2010):2635-2639.
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