July 27, 2026 · Archives of disease in childhood · DOI: 10.1136/archdischild-2025-329705

Early high-flow nasal oxygen therapy in paediatric acute hypoxaemic respiratory failure: a cost analysis following a randomised controlled trial

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The authors aimed to compare the total direct healthcare costs of nasal high flow (NHF) therapy versus standard oxygen therapy (SOT) as first-line treatments for pediatric acute hypoxaemic respiratory failure (AHRF). They found that NHF was significantly more expensive than SOT, with an average cost difference of $A1396 per patient, and did not demonstrate better clinical outcomes, particularly among non-responders. This highlights the need for more targeted use of NHF in this patient population.

Brenda Gannon, Linh Khanh Vo, Vinh Vo, Donna Franklin, Joerg Mattes, Franz E Babl, Simon Craig, Shane George, Stuart Dalziel, Meredith Louise Borland, Deborah Shellshear, Jason Acworth, Alexandra Wallace, Tobias Hoeppner, Mark Wildman, Hamish Mccay, Jocelyn Neutze, Trang M Pham, Andreas Schibler

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