Does Pneumococcal Vaccination Have an Effect on Hospital Costs?
OBJECTIVE: It is known that inpatient hospital costs are much higher than outpatient services. It was aimed to investigate the effect of pneumococcal vaccination on hospitalizations. MATERIAL AND METHODS: The direct hospitalization costs, length of stay, and factors of the vaccinated and unvaccinate...
| Published in: | Thoracic Research & Practice Vol. 24; no. 3; pp. 165 - 170 |
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| Main Authors: | , , , , , , , , , |
| Format: | research tables/charts Journal Article |
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Galenos Yayinevi Tic. LTD. STI
May2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=167352839&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 167352839 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 29799139 N9E4 jtl: Thoracic Research & Practice issn: 29799139 maglogo: N pubinfo: dt: May2023 vid: 24 iid: 3 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 167352839 167352839 167352839 10.5152/ThoracResPract.2023.22171 167352839 ppf: 165 ppct: 5 formats: tig: atl: Does Pneumococcal Vaccination Have an Effect on Hospital Costs? aug: au: Veske, Nurdan Şimşek Uslu, Özgür Oruç, Özlem Altın, Sedat Yalnız, Enver Karakurt, Zuhal Bolat, Erkut Kul, Seval Kılınç, Oğuz Sayıner, Abdullah affil: Department of Chest Disease, University of Health Sciences Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey sug: subj: Pneumococcal Vaccine Economics Health Facility Costs Economics Hospitalization Economics Outpatient Service Human Male Female Middle Age Aged Aged, 80 and Over Multicenter Studies Prospective Studies Length of Stay Vaccination Status Evaluation Data Analysis Software Descriptive Statistics Attitude to Vaccines Comparative Studies Comorbidity Thoracic Diseases Mortality Chi Square Test T-Tests Multiple Linear Regression Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: OBJECTIVE: It is known that inpatient hospital costs are much higher than outpatient services. It was aimed to investigate the effect of pneumococcal vaccination on hospitalizations. MATERIAL AND METHODS: The direct hospitalization costs, length of stay, and factors of the vaccinated and unvaccinated patients in the same hospital during the 12-month follow-up of the patients who received pneumococcal vaccine between November 15, 2018, and November 15, 2020, in 3 chest diseases and thoracic surgery training and research hospitals were analyzed by obtaining Hospital Information Management System records. Data were collected with Statistical Package for the Social Sciences version 23 program (IBM Corp.; Armonk, NY, USA), and statistical evaluation was made. RESULTS: The mean age of 800 hospitalized patients, of whom 400 were unvaccinated and 400 were vaccinated, was 68.48 ± 11.97. There was no significant difference in the mean age of vaccinated and unvaccinated patients (P > .05). Five hundred sixty-six patients (70.8%) were aged 65 and over. Two hundred eighty (51.2%) of men were vaccinated and 120 (47.2%) of women were vaccinated, and there was no significant difference (P > .05). The mean hospital stay of these patients was 11.01 days, and those in the vaccinated group had an average mean hospital stay of 9.11 days and those in the unvaccinated group had a mean hospital stay less than 12.91 days (P < .001). Total 1-year hospitalization costs were $501.653.53 and the cost per person was calculated as $627.07. The cost per capita for the vaccinated group was $550.52, which was lower than the average cost of the unvaccinated group ($703.62) (P < .05). When comparing the status of being vaccinated, comorbidity, mortality, mean length of stay, chronic obstructive pulmonary disease, and heart disease were found to be statistically significant (P < .05). CONCLUSION: In our study, it was revealed that vaccination of patients hospitalized in chest disease hospitals with the pneumococcal vaccine reduced the average length of hospital stay by 41.7% and the cost of hospitalization by 27.8%. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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