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2023-02-27

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cc by-nc-nd (c) Darbà et al., 2023
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/197756

Incidence and medical costs of chronic obstructive respiratory disease in Spanish hospitals: a retrospective database analysis

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https://doi.org/10.1080/13696998.2023.2182092

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.

Subject

Malalties de l'aparell respiratori, Economia de la salut, Hospitals, Espanya

Subject (English)

Respiratory diseases, Medical economics, Hospitals, Spain

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Articles publicats en revistes (Economia)

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DARBÀ, Josep and ASCANIO, Meritxell. Incidence and medical costs of chronic obstructive respiratory disease in Spanish hospitals: a retrospective database analysis. Journal of Medical Economics. 2023. Vol. 23, num. 1, pags. 335-341. ISSN 1369-6998. [consulted: 8 of August of 2026]. Available at: https://hdl.handle.net/2445/197756

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