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. 2024 Feb 8;14:11. doi: 10.1186/s13561-024-00481-y

Table 3.

Studies calculating the cost of adverse drug events, economic data

First author (year) (ref) Costs Settings Perspective Time horizon Quality score Individual cost (per patient)
1 Katsuno et al. (2021) [19]

Direct costs (micro-costing):

Each clinic/technical fee including medical supplies and drugs

Public health insurance 6 months 0.74 € 5 937
2 Trumbo et al. (2021) [8]

Estimated direct costs:

Hospital admission costs

Hospital 6 years 0.69 NA
3 Iwasaki et al. (2021) [18]

Estimated direct costs:

Daily hospital medical expenditure

Hospital 3 months 0.87 € 6 034
4 Tissot et al. (2021) [9]

Direct medical costs:

Hospital admission costs and additional items (daily supplements for extreme lengths of hospital stays, daily supplements for intensive care stay, expensive drugs or medical devices)

Public health insurance 4 years 0.67

€5 559 ± 8 448

median: €3 725 IQR: [401;114 576]

5 Maity et al. (2021) [10]

Direct costs:

Direct healthcare costs (national average cost of hospitalisation for poisoning/toxic effect of drug category for different age groups)

Indirect/Opportunity costs:

Potential loss of income over a lifetime with human capital approach (calculated for patient aged between 19–64; ages below 19, only future forgone incomes were included)

Lost productivity with friction cost approach

3 = Patient + Health system + Societal 4 years 0.92

Patient perspective:

€451 (infliximab)

€359 (adalimumab)

Health system perspective:

€230 (infliximab)

€100 (adalimumab)

Society perspective:

€240 (infliximab)

€110 (adalimumab)

6 Knight et al. (2019) [11]

Direct costs:

Hospital costs (bed, food, basic nursing, infrastructure), average (mid-range) salary in each personnel category was applied accounting for the varying levels of attending staff, laboratory and radiology investigations, medications costs

Hospital 5 years 0.63

€5 831

CI95%: 5134–6527

7 Boostani et al. (2019) [20]

Estimated direct costs:

Medication cost

2 = Patient, Health insurance 8 months 0.70 €7.46
8 Riaz et al. (2019) [16]

Direct costs:

Hospital admission costs

Public health insurance (MEDICARE) 11 months 0.87 NK
9 Beck et al. (2019) [12]

Estimated direct costs:

Emergency department visit + intensive care stay + hospital admission costs

Public health insurance (MEDICAID) 1 year 0.48 €456
10 Lee et al. (2019) [21]

Direct medical costs (micro-costing):

Costs related to physician + medication cost + laboratory + radiology + hospital admission + surgical + medical supplies

Hospital 6 months 0.67

€1 881

incremental costs compare to before ADR

11 Liao et al. (2019) [17]

Direct medical costs:

Hospital admission and medication costs

Hospital 6 years 0.70

€5 422.40

medical expenses incremental costs compare to non-ADR group control

€1459.40

medication incremental costs compare to non-ADR group control

12 Pok et al. (2018) [14]

Direct medical costs:

Hospital admission + outpatient care + surgical procedures + diagnostic investigations + treatment costs for managing upper GI adverse events

Hospital 2 years 0.67 €136.60
13 Schnippel et al. (2018) [13]

Direct medical costs:

Medication cost + laboratory/investigation + outpatient care + hospital admission + medical supplies

Hospital 10 years 0.70 €380.17 incremental costs compared to no ADR
14 Shafi et al. (2018) [15]

Direct medical costs:

Hospital admission costs

Health system 33 months 0.71

€8 225

incremental cost compared to no ADR

15 Kurle et al. (2018) [22]

Direct costs:

Investigation + drugs + transport costs

Indirect costs:

Loss of income (patient + relatives)

Patient 1 year 0.70 €83.97
16 Slight et al. (2018) [23]

Estimated cost of a preventable ADE in inpatients:

Bates 1997 [28]: Hospital admission costs

Hug 2012 [29]: Hospital admission + overheads + capital costs

Opportunity costs:

Estimating the time and cost of responding to Clinical Decision Support alerts

Hospital 1 year 0.76 NK
17 Gyllensten et al. (2017) [24]

Direct costs:

Outpatient care + home visits (nurse or physician) + hospital admission costs

Unspecified 3 months 0.76

€1 500

(diagnostic code method)

€414 000

(unit cost method)

18 Natanaelsson et al. (2017) [25]

Direct costs:

Outpatient care + ambulatory care + hospital admission + medication costs + Labour

Indirect costs:

Lost productivity/income

4 = Hospital, patient, public health insurance, employer 3 months 0.83

€505

(with €192 of indirect costs)

(real costs)

€1 631

(€410 of indirect costs)

(propension scoring)

19 McCarthy Jr. et al. (2017) [26]

Direct medical costs:

Hospital admission costs

Hospital 13 months 0.65

€2 271€

IQR: 981–13 455 (incremental costs)

20 Spector et al. (2017) [27]

Direct costs:

Hospital admission/annual hospital costs (“production of hospital services) excluding physician wages

Hospital 3 years 0.67

Anticoagulant:

€7 644 (acute myocardial infarction) to €12 849€ (pneumonia)

Hypoglycaemic agent:

€2 747 (heart failure) to €9 054 (major surgery)

NK Not known, NA Not applicable