Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

McBride, Angela, Thuy Duong, B, Vinh Chau Nguyen, V, Louise Thwaites, C, Turner, Hugo C and Hao Nguyen, V (2019) Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam. Transactions of the Royal Society of Tropical Medicine and Hygiene, 113 (10). pp. 649-651. ISSN 0035-9203

[img] PDF - Published Version
Available under License Creative Commons Attribution.

Download (127kB)


The cost of treatment for infectious shock in intensive care in Vietnam is unknown.

We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures.

The 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.

Further advocacy is required to moderate insurance co-payments for costly critical care interventions.

Item Type: Article
Keywords: cost of illness, septic, severe dengue, shock, Adult, Catastrophic Illness, Cost Sharing, Female, Health Expenditures, Hospitalization, Humans, Insurance, Health, Male, Middle Aged, Prospective Studies, Severe Dengue, Shock, Septic, Vietnam, Young Adult
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 17 Mar 2021 12:04
Last Modified: 17 Mar 2021 12:15

View download statistics for this item

📧 Request an update