| Autor: |
M, Bocchino, S, Greco, Y, Rosati, G, Mattioli, A, Marruchella, P, De Mori, C, Bibbolino, E, Girardi, S, Squarcione, C, Saltini |
| Rok vydání: |
2006 |
| Předmět: |
|
| Zdroj: |
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. 10(2) |
| ISSN: |
1027-3719 |
| Popis: |
Division of respiratory medicine in a specialised infectious disease hospital in Rome, Italy.Retrospective evaluation of tuberculosis (TB) care associated costs in an integrated in- and out-patient management programme.Review of the medical records of 92 human immunodeficiency virus negative TB cases admitted between September 2000 and May 2003.Length of in-hospital stay (45 +/- 35 days) was the major cost determinant, as hospitalisation accounted for almost 80% of the total costs of the case, with fixed bed-per-day charges amounting to 76% of hospital costs. Factors associated with higher costs were chest X-ray score, fever, sputum bacterial load and multidrug resistance (P0.05). Cure/treatment completion was achieved in 82% of patients entering the out-patient programme (63% of all cases). Homelessness, age and comorbidities were associated with unfavourable outcomes.A closely followed hospital-centred protocol carried out in a high-resource setting may produce acceptable cure/completion treatment rates. As a too high fraction of resources invested in TB control goes toward hospital costs, out-patient treatment strategies should be implemented. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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