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BMC Health Serv Res
BMC Health Serv Res
BMC Health Services Research
1472-6963
BioMed Central London

2226
10.1186/1472-6963-12-S1-O4
Oral Presentation
Estimating clinical and economic burden of pneumococcal meningitis in Malaysia using Casemix data
Orhun Nimetcan Mehmet memet_nu@yahoo.com

12
Zafar A 13
Amrizal M 1
Zaleha Md Isa 2
Saperi S 3
Aljunid Syed 12
1 grid.460097.c https://ror.org/01y130z09 United Nations University International Institute for Global Health, Kuala Lumpur, Malaysia
2 grid.240541.6 0000 0004 0627 933X https://ror.org/01590nj79 Department of Community Health, UKM Medical Center, Kuala Lumpur, Malaysia
3 grid.240541.6 0000 0004 0627 933X https://ror.org/01590nj79 International Centre for Case-Mix and Clinical Coding, UKM Medical Centre, Kuala Lumpur, Malaysia
21 11 2012
21 11 2012
2012
12 Suppl 1 The conference, and publication of this supplement, was funded by the United Nations University. O4© Maimaiti et al; licensee BioMed Central Ltd. 2012
2012
https://creativecommons.org/licenses/by/2.0/ This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords

Public Hospital
Economic Burden
Hospital Cost
Annual Cost
Pediatric Case
The 6th International Casemix Conference 2012 (6ICMC2012) Kuala Lumpur, Malaysia 6-7 June 2012 issue-copyright-statement© The Author(s) 2012
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pmcBackground

Pneumococcal disease kills over 1.6 million people each year. The vast majority of its victims come from developing countries. Meningitis cases due to S. pneumoniae have one of the highest mortality rates in pneumococcal diseases. However there is no data on clinical and economic burden of pneumococcal meningitis (PM) in Malaysia. Aim of this study was to estimates the clinical and economic burden of PM in Malaysia

Methodology

The clinical and economic burden of pneumococcal meningitis (ICD code G00.1) was assessed using a two years retrospective review of patient’s medical records (2008-2009) from four public hospitals in Malaysia. The cases of PM were identified the using ICD 10 diagnoses codes and were assigned CBG group using MY DRG from UNU Casemix system. Costs of PM were estimated based on the MY DRG using step down costing methodology from hospital cost data. The annual cost of the disease was stratified for pediatric and adult cases.

Result

There are 2,809 PM cases annually; out of these 1,392 belongs to the pediatric age group while 1,417 were adult cases. Cost per episode of pneumococcal meningitis was calculated. The cost for inpatient pediatric pneumococcal meningitis was estimated as RM 6,027 while for inpatient adult case was estimated as RM 4,985. The cost for pediatric outpatient pneumococcal meningitis visit was RM 824 while that for adult case was RM 515. Total direct cost for pneumococcal meningitis is estimated to be RM 3,737,584, of which 52% (RM 1,785,811) were due to pediatric cases while 48% (RM 1,951,773) were generated by adult cases in Malaysia.

Conclusion

PM is presented a significant burden for Malaysian population and society. The disease burden can be reduced through vaccination.
