Cost of venous thromboembolism in hospitalized medically ill patients.

Purpose. The results of a study to estimate the economic costs of venous thromboembolism (VTE) in hospitalized nonsurgical patients during initial admissions and subsequent to hospital discharge are presented. Methods. Using a database linking admission records from more than 150 U.S. hospitals to h...

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Publicado en:American Journal of Health-System Pharmacy Vol. 70; no. 19; pp. 1681 - 1688
Autores principales: Pendergraft, Trudy, Atwood, Mark, Xianchen Liu, Phatak, Hemant, Liu, Larry Z., Oster, Gerry
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA 10/1/2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/1/2013
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      pub: Oxford University Press / USA
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        atl: Cost of venous thromboembolism in hospitalized medically ill patients.
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        au:
          Pendergraft, Trudy
          Atwood, Mark
          Xianchen Liu
          Phatak, Hemant
          Liu, Larry Z.
          Oster, Gerry
        affil: Senior Consultant, Policy Analysis Inc., Brookline, MA
      sug:
        subj:
          Inpatients Evaluation
          Venous Thromboembolism Economics
          Billing and Claims Statistics and Numerical Data
          Length of Stay
          Costs and Cost Analysis
          Human
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Middle Age
          Aged
          Confidence Intervals
          Adult
          Aged, 80 and Over
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Aged, 80 & over
          Male
          Female
      ab: Purpose. The results of a study to estimate the economic costs of venous thromboembolism (VTE) in hospitalized nonsurgical patients during initial admissions and subsequent to hospital discharge are presented. Methods. Using a database linking admission records from more than 150 U.S. hospitals to health insurance claims, 49,948 patients 40 years of age or older who were hospitalized at least once during a 6-year period for diagnoses other than VTE or traumatic injury and who met other inclusion criteria were identified. Costs were tallied from the index admission to postdischarge day 180 for patients with and patients without evidence of VTE. Ordinary least-squares regression was used to estimate the independent relationship between VTE and total health care costs, controlling for differences in patient characteristics. Results. Two hundred forty-two patients (0.5%) had VTE during the index admission, 317 (0.6%) had VTE after the index admission discharge; in total, 559 (1.1%) had VTE through postdischarge day 180. Among the 242 patients with VTE during their index admission, the adjusted mean total health care costs over 180 days were $17,848 higher than among those without VTE ($47,416 versus $29,568, p < 0.001); for the 317 patients with postdischarge VTE, the adjusted mean total 180-day costs were $51,863 higher than for those without postdischarge VTE ($74,136 versus $22,273, p < 0.001). Conclusion. Among medically ill patients admitted to the hospital, health care costs were significantly higher among those who developed VTE during hospitalization or after discharge compared with those who did not develop VTE.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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