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Hospitalization costs of cystic fibrosis in the United States: a retrospective analysis.
Hosp Pract (1995). 2018 Oct; 46(4):203-213.HP

Abstract

OBJECTIVE

To determine patient, hospital, and clinical characteristics associated with the length of stay (LOS), total hospital charges, and total hospital costs in cystic fibrosis (CF).

METHODS

Hospital discharge records with primary and secondary diagnoses of CF were identified from the 2012 Kids' Inpatient Database (KID) consisting of inpatient records of ages 0-20 years; and 2012 National Inpatient Sample (NIS) consisting of inpatient records of ages 21 and above. Both the databases are part of the Healthcare Cost and Utilization Project (HCUP). Patient demographics, hospital characteristics, clinical characteristics, and outcome measures from KID and NIS were utilized in the analyses. Univariate and multivariate statistical analyses were conducted using IBM SPSS Statistics 24.0.

RESULTS

A total of 3142 and 10,258 CF-related hospital discharges were identified from 2012 KID and 2012 NIS databases, respectively. Among children, the mean (SD) LOS was 9.79 (10.51) days with a mean hospital costs of $26,249.23 (40,592.81). Adults had a mean LOS of 8.54 (8.42) days with a mean hospital costs of $21,600.91 (31,997.52). Number of procedures and total comorbidities were identified as the most important predictors of LOS, total hospital charges, and total hospital costs in both datasets.

CONCLUSIONS

Hospitalizations contribute significantly to the economic burden of CF. As inpatient costs in CF vary by patient, clinical, and hospital characteristics, healthcare decision makers need to utilize a targeted approach in different age groups to reduce hospital admission rates and the overall economic burden of CF.

Authors+Show Affiliations

a Pharmacy Administration , School of Pharmacy, Duquesne University , Pittsburgh , USA.a Pharmacy Administration , School of Pharmacy, Duquesne University , Pittsburgh , USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30067115

Citation

Vadagam, Pratyusha, and Khalid M. Kamal. "Hospitalization Costs of Cystic Fibrosis in the United States: a Retrospective Analysis." Hospital Practice (1995), vol. 46, no. 4, 2018, pp. 203-213.
Vadagam P, Kamal KM. Hospitalization costs of cystic fibrosis in the United States: a retrospective analysis. Hosp Pract (1995). 2018;46(4):203-213.
Vadagam, P., & Kamal, K. M. (2018). Hospitalization costs of cystic fibrosis in the United States: a retrospective analysis. Hospital Practice (1995), 46(4), 203-213. https://doi.org/10.1080/21548331.2018.1505407
Vadagam P, Kamal KM. Hospitalization Costs of Cystic Fibrosis in the United States: a Retrospective Analysis. Hosp Pract (1995). 2018;46(4):203-213. PubMed PMID: 30067115.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospitalization costs of cystic fibrosis in the United States: a retrospective analysis. AU - Vadagam,Pratyusha, AU - Kamal,Khalid M, Y1 - 2018/08/09/ PY - 2018/8/2/pubmed PY - 2018/10/17/medline PY - 2018/8/2/entrez KW - CF-related discharges KW - Cystic fibrosis KW - Kid’s Inpatient database KW - National Inpatient Sample KW - length of stay KW - total hospital costs SP - 203 EP - 213 JF - Hospital practice (1995) JO - Hosp Pract (1995) VL - 46 IS - 4 N2 - OBJECTIVE: To determine patient, hospital, and clinical characteristics associated with the length of stay (LOS), total hospital charges, and total hospital costs in cystic fibrosis (CF). METHODS: Hospital discharge records with primary and secondary diagnoses of CF were identified from the 2012 Kids' Inpatient Database (KID) consisting of inpatient records of ages 0-20 years; and 2012 National Inpatient Sample (NIS) consisting of inpatient records of ages 21 and above. Both the databases are part of the Healthcare Cost and Utilization Project (HCUP). Patient demographics, hospital characteristics, clinical characteristics, and outcome measures from KID and NIS were utilized in the analyses. Univariate and multivariate statistical analyses were conducted using IBM SPSS Statistics 24.0. RESULTS: A total of 3142 and 10,258 CF-related hospital discharges were identified from 2012 KID and 2012 NIS databases, respectively. Among children, the mean (SD) LOS was 9.79 (10.51) days with a mean hospital costs of $26,249.23 (40,592.81). Adults had a mean LOS of 8.54 (8.42) days with a mean hospital costs of $21,600.91 (31,997.52). Number of procedures and total comorbidities were identified as the most important predictors of LOS, total hospital charges, and total hospital costs in both datasets. CONCLUSIONS: Hospitalizations contribute significantly to the economic burden of CF. As inpatient costs in CF vary by patient, clinical, and hospital characteristics, healthcare decision makers need to utilize a targeted approach in different age groups to reduce hospital admission rates and the overall economic burden of CF. SN - 2154-8331 UR - https://www.unboundmedicine.com/medline/citation/30067115/Hospitalization_costs_of_cystic_fibrosis_in_the_United_States:_a_retrospective_analysis_ L2 - http://www.tandfonline.com/doi/full/10.1080/21548331.2018.1505407 DB - PRIME DP - Unbound Medicine ER -