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http://hdl.handle.net/2445/197756
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DC Field | Value | Language |
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dc.contributor.author | Darbà, Josep | - |
dc.contributor.author | Ascanio, Meritxell | - |
dc.date.accessioned | 2023-05-09T16:33:51Z | - |
dc.date.available | 2023-05-09T16:33:51Z | - |
dc.date.issued | 2023-02-27 | - |
dc.identifier.issn | 1369-6998 | - |
dc.identifier.uri | http://hdl.handle.net/2445/197756 | - |
dc.description.abstract | Objective:This study aimed to assess the comorbidity profile, use of health care resources and med-ical costs of patients with chronic obstructive pulmonary disease (COPD) treated at the hospital levelin Spain.Methods:Admission records of patients with COPD and at least two admissions registered betweenJanuary 2016 and December 2020 were obtained from a Spanish hospital discharge database and ana-lyzed in a retrospective multicenter study.Results:95,140 patients met the inclusion criteria; 69.1% were males with a median age of 75years.Mean Charlson comorbidity index (CCI) was 1.9 in the index admission, increasing to 2.1 during thefollow-up period. An acute exacerbation of COPD was registered in 93.6% of patients in the indexadmission; other secondary diagnoses included respiratory failure (56.8%), essential hypertension(36.9%), hypercholesterolemia (26.7%) and diabetes (26.3%). The age-adjusted incidence rate of COPDwas 22.6 per 10,000 persons over the study period, decreasing significantly in the year 2020. Mortalityrate was 4.1% for COPD patients, increasing to 6.6% in the year 2020. The year 2020, 191 patients reg-istered a COVID-19 infection, with a mortality rate of 23.0%. Length of hospital stay, and intensive careunit (ICU) stay increased in the follow-up period versus the index admission, similar to admission costs.Mean admission cost wase3212 in the index admission, with cost increases being associated withage, length of stay, ICU stay and CCI.Conclusions:Patients'condition worsened significantly over the follow-up period, in terms of comor-bidity and dependence on respirator, with an increased mortality rate and higher admission costs. | - |
dc.format.extent | 7 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Taylor & Francis | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1080/13696998.2023.2182092 | - |
dc.relation.ispartof | Journal of Medical Economics, 2023, vol. 23, num. 1, p. 335-341 | - |
dc.relation.uri | https://doi.org/10.1080/13696998.2023.2182092 | - |
dc.rights | cc by-nc-nd (c) Darbà et al., 2023 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.source | Articles publicats en revistes (Economia) | - |
dc.subject.classification | Malalties de l'aparell respiratori | - |
dc.subject.classification | Economia de la salut | - |
dc.subject.classification | Hospitals | - |
dc.subject.classification | Espanya | - |
dc.subject.other | Respiratory diseases | - |
dc.subject.other | Medical economics | - |
dc.subject.other | Hospitals | - |
dc.subject.other | Spain | - |
dc.title | Incidence and medical costs of chronic obstructive respiratory disease in Spanish hospitals: a retrospective database analysis | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 732757 | - |
dc.date.updated | 2023-05-09T16:33:51Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Economia) |
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