A Prospective Study of Costs Associated With the Evaluation of Allergic Reactions to Radiological Contrast Media.

Autor:	Sobrino-García M; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain., Muñoz-Bellido FJ; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.; Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Spain., Moreno E; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.; Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Spain.; Asthma, Allergic and Adverse Reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Salamanca University Hospital, Salamanca, Spain., Gracia-Bara MT; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain., Laffond E; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.; Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Spain., Lázaro-Sastre M; Allergy Department, University Hospital of Salamanca, Spain., Martín-García C; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain., Dávila I; Allergy Department, University Hospital of Salamanca, Spain.; Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.; Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Spain.; Asthma, Allergic and Adverse Reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Salamanca University Hospital, Salamanca, Spain.
Jazyk:	angličtina
Zdroj:	Journal of investigational allergology & clinical immunology [J Investig Allergol Clin Immunol] 2023 Apr 18; Vol. 33 (2), pp. 102-108. Date of Electronic Publication: 2022 Jan 14.
DOI:	10.18176/jiaci.0774
Abstrakt:	Background and Objective: The prevalence of hypersensitivity reactions to radiological contrast media (RCM) is increasing owing to the improved performance of diagnostic and therapeutic tests that require RCMs. Objective: We carried out a year-long real-life observational study to prospectively evaluate patients referred to the allergy department from primary care, the emergency department, and other specialties with suspected moderate-to-severe RCM hypersensitivity reactions. Methods: To study the costs of evaluating RCM hypersensitivity reactions, we systematically recorded direct and indirect costs. Results: Sixty-nine patients with previous reactions to RCM were evaluated in the allergy department from June 1, 2017, to May 31, 2018.Total direct health care costs were €10 715.84, with a mean (SD) cost per patient of €155.30 (77.08). Specifically, direct non-health care costs reached €1605.42 (mean, €23.27 [41.14]), and indirect costs were €6490.85 (mean, €94.07 [110.61]). In summary, the total cost was €18 812.11, that is, a mean cost of €272.64 (164.77). Conclusion: Our study shows that the costs of an elective evaluation of hypersensitivity reactions to RCM are low, thus confirming that correct and safe management of affected patients are cost-effective. Therefore, our efforts should be directed toward ensuring the necessary logistics.
Databáze:	MEDLINE
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