Cited 0 times in

신생아 태변흡입증후군의 국내 현황과 폐표면활성제 투여 시 비용규모 및 비용효과

Title
 신생아 태변흡입증후군의 국내 현황과 폐표면활성제 투여 시 비용규모 및 비용효과 
Other Titles
 The burden of illness for meconium aspiration syndrome and cost prediction related to surfactant therapy for meconium aspiration syndrome in Korea 
Authors
 최현진 ; 서혜선 ; 배종우 ; 김한석 ; 이순민 ; 박병주 ; 이중엽 ; 한서경 
Issue Date
2011
Journal Title
 Journal of the Korean Medical Association (대한의사협회지) 
ISSN
 2093-5951 
Citation
 Journal of the Korean Medical Association (대한의사협회지), Vol.54(5) : 549~556, 2011 
Abstract
Meconium aspiration syndrome (MAS) is an important cause of respiratory distress in neonates. Surfactant therapy has been used to improve oxygenation for infants with MAS recently. The object of this study is to estimate the number of candidates for surfactant use in MAS and the cost for surfactant, and to analyze its cost-effectiveness in Korea. Using Korean Health Insurance Review and Assessment Service reimbursement data, the number of neonates with a diagnosis of MAS receiving mechanical ventilation was counted. The annual cost for surfactant use was calculated using the number of patients receiving mechanical ventilation for at least three days who were considered potential candidates for surfactant use. The cost-effectiveness was evaluated using the effectiveness data from a previous meta-analysis. Infants with a diagnosis of MAS receiving mechanical ventilation were 0.92 per 1,000 live births annually. Among them, 55% were potential candidates for surfactant use. The expected annual cost for surfactant was 990 million Korean won and 500 million Korean won and the number needed to treat was 14.3 and 6.7 in surfactant bolus therapy and surfactant lavage therapy, respectively. Sixty-four million won was estimated as the cost to prevent one infant death by surfactant bolus therapy and 15 million won by surfactant lavage therapy. The surfactant therapy for MAS is presently not covered by the Korean national health insurance and its application to MAS is limited because of the high financial burden to the patients' family. This study's results could help healthcare decision makers establish a policy in the future.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94841
DOI
10.5124/jkma.2011.54.5.549
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Pediatrics
Yonsei Authors
사서에게 알리기
  feedback
Files in This Item:
T201104809.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse