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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

DOI

10.1093/trstmh/trz064

Type

Journal

Transactions of the Royal Society of Tropical Medicine and Hygiene

Publication Date

10/2019

Volume

113

Pages

649 - 651

Addresses

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

Keywords

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