Costs of the COVID‐19 pandemic associated with obesity in Europe: A health‐care cost model
Open Access
- 7 February 2021
- journal article
- research article
- Published by Wiley in Clinical Obesity
- Vol. 11 (2), e12442
- https://doi.org/10.1111/cob.12442
Abstract
Excess weight is associated with severe outcomes of coronavirus disease 2019 (COVID‐19). We aimed to estimate the total secondary care costs by body mass index (BMI, kg/m2) category when hospitalized due to COVID‐19 in Europe during the first wave of the pandemic from January to June 2020. Building a health‐care cost model, this study aimed to estimate the total costs of COVID‐19. Information on risk of hospitalization, admission to intensive care unit (ICU) and risk of ventilation were based on published data. Average cost per patient and in total were calculated based on risks of admission to ICU, risk of invasive mechanical ventilation and length of hospital stay when hospitalized and published costs associated with hospitalization. The total direct costs of secondary care during the first wave of COVID‐19 in Europe were estimated at EUR 13.9 billon, whereof 76% accounted for treating people with overweight and obesity. The average cost per hospital admission increased with BMI, from EUR 15831 for BMI 2 to EUR 30982 for BMI ≥40 kg/m2. This study reveals that excess weight contributes disproportionally to the costs of COVID‐19. This might reflect that overweight and obesity caused the COVID‐19 pandemic to result in more severe outcomes for citizens and higher secondary care costs throughout Europe.Keywords
This publication has 30 references indexed in Scilit:
- One size does not fit all – Patterns of vulnerability and resilience in the COVID-19 pandemic and why heterogeneity of disease mattersBrain, Behavior, and Immunity, 2020
- 0.9% saline versus Plasma-Lyte as initial fluid in children with diabetic ketoacidosis (SPinK trial): a double-blind randomized controlled trialCritical Care, 2020
- Double Environmental Injustice — Climate Change, Hurricane Dorian, and the BahamasThe New England Journal of Medicine, 2020
- 2020: a critical year for women, gender equity, and healthThe Lancet, 2020
- In This Issue of Diabetes CareDiabetes Care, 2019
- Gaps to bridge: Misalignment between perception, reality and actions in obesityDiabetes, Obesity and Metabolism, 2019
- Forecasting Future Trends in Obesity across Europe: The Value of Improving SurveillanceObesity Facts, 2018
- Obesity and emergency care in the French CONSTANCES cohortPLOS ONE, 2018
- Populations at risk for severe or complicated influenza illness: systematic review and meta-analysisBMJ, 2013
- What's the Relative Risk?JAMA, 1998