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BackgroundThe cost of treatment for infectious shock in intensive care in Vietnam is unknown.MethodsWe prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures.ResultsThe median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively.ConclusionsFurther advocacy is required to moderate insurance co-payments for costly critical care interventions.

Original publication





Transactions of the Royal Society of Tropical Medicine and Hygiene

Publication Date





649 - 651


Department of Global Health and Infection, Brighton and Sussex Medical School, Falmer, Brighton, England.


Humans, Shock, Septic, Catastrophic Illness, Hospitalization, Prospective Studies, Adult, Middle Aged, Cost Sharing, Health Expenditures, Insurance, Health, Vietnam, Female, Male, Young Adult, Severe Dengue