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Journal Article

Citation

Barnabas R, Yadav B, Jayakaran J, Gunasekaran K, Johnson J, Pichamuthu K, Iyadurai R. Indian J. Crit. Care Med. 2022; 26(7): 836-838.

Copyright

(Copyright © 2022, Indian Society of Critical Care Medicine, Publisher Medknow Publications)

DOI

10.5005/jp-journals-10071-24239

PMID

36864870

PMCID

PMC9973189

Abstract

BACKGROUND: Deliberate self-harm (DSH) in developing nations has a significant impact on health and economic conditions of patients and families.

MATERIALS AND METHODS: This retrospective study aims to study the cost of hospitalization and the factors affecting the cost of medical care. Adult patients with a diagnosis of DSH were included.

RESULTS: A total of 107 patients were included with the most common type of poison consumed being pesticides (35.5%) followed by a tablet overdose (31.8%). There was a male preponderance with a mean (SD) age of 30.04 (9.03) years. The median cost of admission was ₹13,690 (USD 195.57); DSH with pesticide increased the cost of care by 67% as compared to non-pesticides. Other factors which increased the cost were need for intensive care, ventilation, use of vasopressors, and development of ventilator-associated pneumonia (VAP).

CONCLUSIONS: Pesticide-based poisoning is the most frequent cause of DSH. Among different types of DSH, pesticide poisoning is associated with a higher direct cost of hospitalization. HOW TO CITE THIS ARTICLE: Barnabas R, Yadav B, Jayakaran J, Gunasekaran K, Johnson J, Pichamuthu K, et al. Direct Costs of Healthcare among Patients with Deliberate Self-harm: A Pilot Study from a Tertiary Care Hospital in South India. Indian J Crit Care Med 2022;26(7):836-838.


Language: en

Keywords

Deliberate self-harm; Direct cost; Pesticide poisoning; South India

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