Relationship of hospital-associated bleeding with length of stay and total hospitalization costs in patients hospitalized for atrial fibrillation
| Autor: | Alpesh Amin, Bernadette H. Johnson, Yonghua Jing, Scott B. Robinson, Daniel Wiederkehr, Bruce D Bowdy |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Hemorrhage Comorbidity 030204 cardiovascular system & hematology Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Atrial Fibrillation medicine Humans In patient 030212 general & internal medicine Young adult Aged Retrospective Studies business.industry Health Policy Racial Groups Age Factors Anticoagulants Atrial fibrillation Retrospective cohort study Length of Stay Middle Aged Bleed medicine.disease Surgery Hospitalization Emergency medicine Female Diagnosis code business Database research |
| Zdroj: | Journal of Medical Economics. 19:490-496 |
| ISSN: | 1941-837X 1369-6998 |
| DOI: | 10.3111/13696998.2015.1134545 |
| Popis: | While literature has focused on the impact of bleeding beginning outside the hospital setting among patients with atrial fibrillation (AF), there is little information regarding bleeding that first occurs within a hospital setting. This study was performed to determine the association between hospital-associated bleeding in patients admitted for AF on outcomes of length of stay (LOS) and total hospitalization cost.The Premier research database was queried to identify adult inpatients discharged between 2008-2011 having a primary diagnosis code for AF where a bleeding diagnosis code was not present on admission. Regression was used to adjust for baseline differences in patients to estimate outcomes comparing patients with and without a hospital-associated bleed. There were 143,287 patients that met the study criteria. There were 2991 (2.1%) patients identified with a hospital associated bleed. After adjustment for covariates, the mean estimated LOS was significantly greater in the bleed group, at 6.0 days (95% CI = 5.8-6.1) vs the no bleed group at 3.3 days (95% CI = 3.3-3.3) (p 0.0001). Similarly, the adjusted mean estimated total hospitalization cost was also significantly greater in the bleed group, $12,069 (95% CI = $11,779-$12,366) vs $6561 (95% CI = $6538-$6583) in the no bleed group (p 0.0001).After adjustments for baseline differences the data show that the 2.1% (n = 2991) of patients with hospital associated bleeding accounted for an estimated additional 8106 hospitalization days and $16.4 million dollars in cost over the study period compared to non-bleeders. |
| Databáze: | OpenAIRE |
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