Table 5. Economic costs for 90 patients with WNV diseases by clinical syndrome, Quebec, Canada, 2012–2013*.
| Cost | WNF, n = 24 | WNM, n = 18 | WNE, n = 48† |
|---|---|---|---|
| Direct | |||
| Mean (SD) | 1,113 (2,048) | 5,794 (7,625) | 26,085 (28,363) |
| Median (IQR) | 151 (20–685) | 2,699 (2,483–7 703) | 15,963 (7,881–28,065) |
| Total |
27,271 |
106,167 |
1,257,249 |
| Hospital | |||
| Mean (SD) | 892 (1,930) | 4,221 (3,682) | 19,259 (17,488) |
| Median (IQR) | 0 (0–0) | 2,333 (2,295–5,604) | 15,839 (7,603–27,931) |
| Total |
21,401 |
75,977 |
924,447 |
| Emergency department visits | |||
| Mean (SD) | 55 (110) | 110 (110) | 110 (110) |
| Median (IQR) | 55 (0–110) | 110 (110–110) | 110 (110–110) |
| Total |
1,319 |
1,978 |
5,275 |
| Inpatient rehabilitation | |||
| Mean (SD) | 0 | 1,019 (4,323) | 6,004 (18,120) |
| Median (IQR) | 0 | 0 (0–0) | 0 (0–0) |
| Total |
0 |
18,340 |
288,209 |
| Outpatient readaptation‡ | |||
| Mean (SD) | 74 (323) | 289 (1,052) | 480 (1,320) |
| Median (IQR) | 0 (0–0) | 0 (0–0) | 0 (0–0) |
| Total |
1,780 |
5,194 |
23,068 |
| Physician visits§ | |||
| Mean (SD) | 74 (106) | 180 (185) | 89 (124) |
| Median (IQR) | 41 (0–93) | 126 (0–277) | 60 (0–136) |
| Total |
1,781 |
3,242 |
4,279 |
| Additional costs¶ | |||
| Mean (SD) | 41 (104) | 80 (66) | 250 (673) |
| Median (IQR) | 0 (0–0) | 100 (0–100) | 100 (0–100) |
| Total |
990 |
1,435 |
11,971 |
| Indirect costs (absence from work)# | |||
| Mean (SD) | 896 (2,198) | 5,169 (6,116) | 3,454 (9,101) |
| Median (IQR) | 0 (0–556) | 2,550 (650–9,000) | 0 (0–3,374) |
| Total |
21,506 |
93,042 |
165,772 |
| Total costs | |||
| Mean (SD) | 2,009 (2,904) | 10,963 (9,072) | 29,539 (31,067) |
| Median (IQR) |
192 (20–5,359) |
8,124 (4,025–13,631) |
21,332 (12,131–28,101) |
| Total | 48,777 | 199,209 | 1,423,021 |
*Costs are in Canadian dollars. Total costs are the sum of all category costs. Mean and median costs are expressed as per-patient cost for all participants (including patients with 0 costs). Total is the costs sum for all participants. IQR, interquartile range; WNE, West Nile encephalitis; WNF, West Nile fever; WNM, West Nile meningitis; WNV, West Nile virus. †Includes WNE encephalitis (n = 28), meningoencephalitis (n = 18), and acute flaccid paralysis (n = 2). ‡Includes physiotherapy, occupational therapy, speech therapy, and home care costs. §Includes primary care physician and neurologist consultations costs. ¶Includes medical equipment purchase, recruitment for household chores costs, and other personal expenses. #Includes participants’ and families’ missed work costs.