Abstract 66: Cost Profile of Heart Failure Inpatient Admissions in the United States: Data from the Premier Hospital Database
| Autor: | Candace Gunnarsson, John A Rizzo, Mark L Burton, Sarah A Mollenkopf, Sarah L Bril, Stelios Tsintzos |
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| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 6 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.6.suppl_1.a66 |
| Popis: | OBJECTIVE: Quantify the hospital cost of Heart Failure (HF) admissions and investigate differences among acute and chronic patients by disease severity. METHODS: 2010 data from the Premier Hospital Database was used. Patients were included if (a) they had at least one inpatient admission with an International Classification of Diseases, Ninth Revision (ICD-9) primary diagnosis code of HF (both chronic or acute HF) and (b) had Diagnosis Related Group (DRG) Code of 291, 292 or 293. Patients were excluded if they had procedure codes indicating they were recipients of an implantable cardiac device (ICD) (e.g. Device Interrogation, Reprogramming, or Remote Monitoring) before or during the hospital stay. HF admissions meeting the inclusion criteria were categorized by ICD-9 Code (see table). Summary statistics were generated for the cost of care for each category and by DRG code. RESULTS: 592,279 inpatient admissions had a primary or secondary ICD-9 Code for HF (11.72% of all inpatient admissions). Of those admissions, 446,145 were excluded for not having been assigned an HF DRGs (291-293). A further 37,125 admissions were excluded because of evidence of an implanted device and a final 27 were excluded for not having HF as primary code. 108,982 admissions (18.4% of the total) were included in the analysis - details are presented in the table. Within each category, admissions in DRG 291 (HF with Major Complications and Comorbidities) were the most costly. For all categories combined, the mean cost per visit was $8,184 (SD $8,015) median $6,140 (Q1 $3,989, Q3 $9,691). Fixed costs were 51% and variable costs were 49% of the total. Median Length-of-Stay (LoS) was 4 days. Further summary statistics for costs and LoS by category are given in the table. CONCLUSION: Heart Failure (HF) is highly prevalent and costly. It imposes a significant burden on US hospitals as the costs of a HF hospitalization typically exceed national Medicare reimbursement amounts ($8,245, $5,947 and $3,917 for DRGs 291, 292 and 293 respectively). Hospitals will benefit by identifying more efficient treatments for these patients. |
| Databáze: | OpenAIRE |
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