Costs of home-based respiratory support and oxygen therapy
Objective. To assess the direct costs associated with home-based respiratory support and oxygen therapy (RSOT). Material and methods. The study included two stages: prospective follow-up of patients receiving home-based RSOT and economic analysis of results. There were 98 patients (mean age 61 years, 56.9% men) divided into 3 groups depending on home-based RSOT: invasive mechanical ventilation (IMV) — 8 (8.2%), non-invasive ventilation (NIV) — 43 (43.9%) and long-term oxygen therapy (LTOT) — 47 (47.9%). Direct costs of home-based RSOT were estimated. Results. The weighted average monthly expenses per patient with chronic respiratory failure (CRF) requiring RSOT at home were RUR 115.046 (95% CI: RUR 120.374 — 109.717) for IMV, RUR 39.905 (95% CI: RUR 44.336 — RUR 35.473) for NIV and RUR 10.518 (95% CI: RUR 11.128 — RUR 9.909) for LTOT. Most of these costs were related to provision of necessary equipment. Conclusion. Direct costs for home-based RSOT decrease sequentially from IMV to NIV and LTOT.
Authors
- Sergey Nikolaevich Avdeev (ORCID: https://orcid.org/0000-0002-5999-2150)
- M. Avxentyeva (ORCID: https://orcid.org/0000-0001-6660-0402)
- И. С. Крысанов (ORCID: https://orcid.org/0000-0002-3541-1120)
- E.S. Larin (ORCID: https://orcid.org/0000-0002-7450-6317)
- А. О. Быков (ORCID: https://orcid.org/0000-0001-5244-7769)
- Galiya S. Nuralieva (ORCID: https://orcid.org/0000-0002-4726-4906)
- V. V. Tkachenko (ORCID: https://orcid.org/0000-0001-6682-0560)
- D. V. Nevzorovа (ORCID: https://orcid.org/0000-0001-8821-2195)
- K. A. Krokhin (ORCID: https://orcid.org/0009-0007-5547-1351)
- А. Н. Комаров
- B. E. Pervozvanskiy (ORCID: https://orcid.org/0009-0002-5483-1865)
Institutions
- Sechenov University (RU)
- Pirogov Russian National Research Medical University (RU)
- National Centre for Social research (GR)
- Scientific Research Institute of Healthcare Organization and Medical Management (RU)
- Federal State Budgetary Institution "Center for Expertise and Quality Control of Medical Care" (RU)
- Medical Technologies (Czechia) (CZ)
Publication Details
- Journal
- Medical Technologies Assessment and Choice
- Published
- 2025-09-09
- DOI
- https://doi.org/10.17116/medtech20254703193
- Primary Topic
- Respiratory Support and Mechanisms
- Type
- article
- Field-Weighted Citation Impact
- 0.00