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Titolo:
Hospital admissions, length of stay, charges, and in-hospital death among patients with systemic sclerosis
Autore:
Nietert, PJ; Silverstein, MD; Silver, RM;
Indirizzi:
Med Univ S Carolina, Ctr Hlth Care Res, Charleston, SC 29425 USA Med Univ S Carolina Charleston SC USA 29425 Res, Charleston, SC 29425 USA Med Univ S Carolina, Div Rheumatol & Immunol, Charleston, SC 29425 USA MedUniv S Carolina Charleston SC USA 29425 nol, Charleston, SC 29425 USA Med Univ S Carolina, Dept Med, Charleston, SC 29425 USA Med Univ S Carolina Charleston SC USA 29425 Med, Charleston, SC 29425 USA
Titolo Testata:
JOURNAL OF RHEUMATOLOGY
fascicolo: 9, volume: 28, anno: 2001,
pagine: 2031 - 2037
SICI:
0315-162X(200109)28:9<2031:HALOSC>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
TOPOISOMERASE-I; UNITED-STATES; LUNG-DISEASE; SCLERODERMA;
Keywords:
scleroderma, systemic; hospitalization; length of stay; minority groups; hospital charges; hospital mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Nietert, PJ Med Univ S Carolina, Ctr Hlth Care Res, POB 250550,135 Rutledge Ave,Suite 1201, Charleston, SC 29425 USA Med Univ S Carolina POB 250550,135 Rutledge Ave,Suite 1201 Charleston SC USA 29425
Citazione:
P.J. Nietert et al., "Hospital admissions, length of stay, charges, and in-hospital death among patients with systemic sclerosis", J RHEUMATOL, 28(9), 2001, pp. 2031-2037

Abstract

Objective. To investigate population hospitalization rates to community hospitals for systemic sclerosis (SSc, scleroderma) and examine whether age, sex, race, and insurance status independently predict length of stay (LOS),hospital charges, and in-hospital death. Methods. The 1995 Healthcare Cost and Utilization Project national inpatient sample was used to identify 3,621 SSc hospitalizations. Weighted age, sex, and race-specific frequencies were divided by population estimates to calculate hospitalizations per million people. Regression models were used tomodel LOS. charges, and in-hospital death with age, sex, race, and insurance serving as the primary independent variables. Covariates included numbers of diagnoses and procedures. whether or not the admission was a transfer from another hospital, and the presence of comorbid conditions. Results. Population hospitalization rates were higher for non-whites compared to whites among those <65, while rates were higher for whites compared to non-whites for those <greater than or equal to>65 years old. On average,non-whites were at least 10 years younger than whites. The mean LOS was 7.5 days, with whites' average LOS being 10% shorter than non-whites', and patients with public health insurance having approximately 9% longer LOS thanthose with private insurance. Charges averaged almost US$15,000 per hospitalization (median = $8,441), amounting to $280 million in community hospital charges in the U.S. in 1995. The overall in-hospital death rate was 7.1%. Conclusion. These patterns are consistent with a greater burden and increased severity of disease among non-whites under age 65 with Ssc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 03:06:26