ArticleThe Journal of infectious diseases2021
Hospitalization Rates and Direct Medical Costs for Fever in a Pediatric Cohort in South India.
Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- The economic burden of dengue: a systematic literature review of unit costs for non-fatal episodes treated in the formal healthcare system.BMC infectious diseases · 2026Pooled it
- Improving admission clerking standards and physical health assessments in febrile patients: A prospective clinical audit at a tertiary care hospital.Journal of family medicine and primary care · 2026Article
- Article
- Incidence and healthcare costs of symptomatic dengue in an urban, city-wide cohort in South India.BMC infectious diseases · 2026Article
- Integration of Early Child Development and Care for Hospitalized Small and Sick Children: A Holistic Approach to Pediatric Health.International journal of preventive medicine · 2026Review
- Factors influencing parents' healthcare-seeking behaviour for their ill children: a cross-sectional study based on China family panel studies.Frontiers in public health · 2026Article
- Dengue fever in Bangladesh: rising trends, contributing factors, and public health implications.Tropical diseases, travel medicine and vaccines · 2025Review
- A comprehensive overview of the burden, prevention, and therapeutic aspects of arboviral diseases in India.Communications medicine · 2025Review
- Methods used to account for caregivers' sex and gender within studies examining the financial burden of caregivers of children and adolescents : Results from a scoping review.ClinicoEconomics and outcomes research : CEOR · 2024Article
- Typhoid in India: An Age-old Problem With an Existing Solution.The Journal of infectious diseases · 2021Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary data on causes and costs of hospitalization are necessary for costing and cost-effectiveness analysis. Data on incidence and causes of hospitalization and consequent expenses among Indian children are limited.
methodsA cohort of 6000 children aged 0.5-15 years residing in urban Vellore was followed for 3 years, under the Vellore Typhoid Study, 2016-2017, and later under the Surveillance for Enteric Fever project, 2017-2019. Data on hospitalization events and associated antibiotic use, and direct medical costs for fever-related hospitalization of study children were obtained from caregivers through weekly follow-up by study field workers.
resultsThe incidence of hospitalization was 33 per 1000 child-years of observation. Children aged 0.5-5 years had the highest incidence of hospitalization. The top 5 infectious causes for hospitalization were acute undifferentiated fevers, respiratory tract infections, acute gastroenteritis, enteric fever, and dengue. The overall median cost of hospitalization for fever was 4243 (interquartile range, 2502-7215) Indian rupees (INR). An episode of dengue had a median cost of 5627 INR, followed by acute undifferentiated fevers and enteric fever with median costs of 3860 and 3507 INR, respectively.
conclusionsHospitalization for fever is common in young children and impacts household finances in low-income Indian households.
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