|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|
|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|
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
|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|
|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
|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.|