Characteristics associated with high hospital spending over 1 year among patients hospitalised for COVID-19 in the USA: a cohort study

Autor: Laura C Chambers, Francesca L Beaudoin, Sameer Nair-Desai, Mark J Soto, Caroline Behr, Leah Lovgren, Tamsin Zandstra, Scott A Rivkees, Ning Rosenthal, Thomas C Tsai
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Public Health, Vol 1, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2753-4294
DOI: 10.1136/bmjph-2023-000263
Popis: Introduction Despite complex care needs during critical COVID-19, the associated long-term healthcare spending is poorly understood, limiting the ability of policy-makers to prioritise necessary care and plan for future medical countermeasures.Methods We conducted a retrospective cohort study of adults hospitalised with COVID-19 in the USA (April‒June 2020) using data from the national PINC AI Healthcare Database. Patients were followed for 365 days to measure hospital spending starting on the date of admission. We used a multivariable logistic model to identify characteristics associated with high spending.Results Among 73 606 patients hospitalised with COVID-19, 73% were aged ≥50 years, 51% were female, and 37% were non-Hispanic white. Mean hospital spending per patient over 90 days was US$28 712 (SD=US$48 583) and over 365 days was US$31 768 (SD=US$52 811). Patients who received care in the intensive care unit (36% vs 23% no intensive care, p
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