Clinical factors and comorbidities affecting the cost of hospital-treated COPD
Sami Deniz,1 Aysun Şengül,2 Yusuf Aydemir,3 Jülide Çeldir Emre,4 Mustafa Hikmet Özhan5 1Clinics of Chest Diseases, Dr Suat Seren Chest Diseases and Thoracic Surgery Education and Research Hospital, İzmir, 2Clinics of Chest Diseases, Kocaeli Derince Research and...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2016-12-01
|
| Series: | International Journal of COPD |
| Subjects: | |
| Online Access: | https://www.dovepress.com/clinical-factors-and-comorbidities-affecting-the-cost-of-hospital-trea-peer-reviewed-article-COPD |
| _version_ | 1818180595527712768 |
|---|---|
| author | Deniz S Şengül A Aydemir Y Çeldir Emre J Özhan MH |
| author_facet | Deniz S Şengül A Aydemir Y Çeldir Emre J Özhan MH |
| author_sort | Deniz S |
| collection | DOAJ |
| description | Sami Deniz,1 Aysun Şengül,2 Yusuf Aydemir,3 Jülide Çeldir Emre,4 Mustafa Hikmet Özhan5 1Clinics of Chest Diseases, Dr Suat Seren Chest Diseases and Thoracic Surgery Education and Research Hospital, İzmir, 2Clinics of Chest Diseases, Kocaeli Derince Research and Education Hospital, Kocaeli, 3Department of Chest Diseases, Sakarya University Faculty of Medicine, Sakarya, 4Clinics of Chest Diseases, Turgutlu State Hospital, Manisa, 5Department of Chest Diseases, Faculty of Medicine, Ege University İzmir, Turkey Purpose: We aimed to assess the effects of comorbidities on COPD costs and to investigate the relationship between comorbidities and clinical variables.Patients and methods: All patients hospitalized with a diagnosis of COPD exacerbation between January 1, 2014, and December 31, 2014, at all state hospitals of Aydin province, a city located in the western part of Turkey, were included in this study. The costs examined in the study pertained to medications, laboratory tests, hospital stays, and other treatment-related factors, such as consumption of materials, doctor visits, and consultation fees.Results: A total of 3,095 patients with 5,237 exacerbations (mean age, 71.9±10.5 years; 2,434 males and 661 females) were evaluated. For 880 of the patients (28.9%), or 3,852 of the exacerbations (73.1%), at least one comorbid disease was recorded. The mean cost of each exacerbation was $808.5±1,586, including $325.1±879.9 (40.7%) for hospital stays, $223.1±1,300.9 (27.6%) for medications, $46.3±49.6 (0.9%) for laboratory expenditures, and $214±1,068 (26.5%) for other treatment-related factors, such as consumption of materials, doctor visits, and consultation fees. The cost of each exacerbation was $1,014.9 in patients with at least one comorbidity, whereas it was $233.6 in patients without comorbidity (P<0.001). Age >65 years, female gender, hospitalization in an intensive care unit, invasive or noninvasive mechanical ventilation, and a long duration of hospitalization were all found to be significant factors in increasing total costs during the exacerbations requiring hospitalization (P<0.05 for all).Conclusion: Comorbidities have an important role in the total costs of acute exacerbations of COPD. Strategies for the prevention, diagnosis, and effective management of comorbidities would decrease the overall financial burden associated with acute exacerbations of COPD. Keywords: COPD, exacerbation, cost, comorbidity, morbidity, intensive care unit |
| first_indexed | 2024-12-11T21:22:16Z |
| format | Article |
| id | doaj.art-0fd7c220bb66486c826b565f7bbc2764 |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-12-11T21:22:16Z |
| publishDate | 2016-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-0fd7c220bb66486c826b565f7bbc27642022-12-22T00:50:26ZengDove Medical PressInternational Journal of COPD1178-20052016-12-01Volume 113023303030304Clinical factors and comorbidities affecting the cost of hospital-treated COPDDeniz SŞengül AAydemir YÇeldir Emre JÖzhan MHSami Deniz,1 Aysun Şengül,2 Yusuf Aydemir,3 Jülide Çeldir Emre,4 Mustafa Hikmet Özhan5 1Clinics of Chest Diseases, Dr Suat Seren Chest Diseases and Thoracic Surgery Education and Research Hospital, İzmir, 2Clinics of Chest Diseases, Kocaeli Derince Research and Education Hospital, Kocaeli, 3Department of Chest Diseases, Sakarya University Faculty of Medicine, Sakarya, 4Clinics of Chest Diseases, Turgutlu State Hospital, Manisa, 5Department of Chest Diseases, Faculty of Medicine, Ege University İzmir, Turkey Purpose: We aimed to assess the effects of comorbidities on COPD costs and to investigate the relationship between comorbidities and clinical variables.Patients and methods: All patients hospitalized with a diagnosis of COPD exacerbation between January 1, 2014, and December 31, 2014, at all state hospitals of Aydin province, a city located in the western part of Turkey, were included in this study. The costs examined in the study pertained to medications, laboratory tests, hospital stays, and other treatment-related factors, such as consumption of materials, doctor visits, and consultation fees.Results: A total of 3,095 patients with 5,237 exacerbations (mean age, 71.9±10.5 years; 2,434 males and 661 females) were evaluated. For 880 of the patients (28.9%), or 3,852 of the exacerbations (73.1%), at least one comorbid disease was recorded. The mean cost of each exacerbation was $808.5±1,586, including $325.1±879.9 (40.7%) for hospital stays, $223.1±1,300.9 (27.6%) for medications, $46.3±49.6 (0.9%) for laboratory expenditures, and $214±1,068 (26.5%) for other treatment-related factors, such as consumption of materials, doctor visits, and consultation fees. The cost of each exacerbation was $1,014.9 in patients with at least one comorbidity, whereas it was $233.6 in patients without comorbidity (P<0.001). Age >65 years, female gender, hospitalization in an intensive care unit, invasive or noninvasive mechanical ventilation, and a long duration of hospitalization were all found to be significant factors in increasing total costs during the exacerbations requiring hospitalization (P<0.05 for all).Conclusion: Comorbidities have an important role in the total costs of acute exacerbations of COPD. Strategies for the prevention, diagnosis, and effective management of comorbidities would decrease the overall financial burden associated with acute exacerbations of COPD. Keywords: COPD, exacerbation, cost, comorbidity, morbidity, intensive care unithttps://www.dovepress.com/clinical-factors-and-comorbidities-affecting-the-cost-of-hospital-trea-peer-reviewed-article-COPDCOPDexacerbationcostcomorbiditymorbidityintensive care unit |
| spellingShingle | Deniz S Şengül A Aydemir Y Çeldir Emre J Özhan MH Clinical factors and comorbidities affecting the cost of hospital-treated COPD International Journal of COPD COPD exacerbation cost comorbidity morbidity intensive care unit |
| title | Clinical factors and comorbidities affecting the cost of hospital-treated COPD |
| title_full | Clinical factors and comorbidities affecting the cost of hospital-treated COPD |
| title_fullStr | Clinical factors and comorbidities affecting the cost of hospital-treated COPD |
| title_full_unstemmed | Clinical factors and comorbidities affecting the cost of hospital-treated COPD |
| title_short | Clinical factors and comorbidities affecting the cost of hospital-treated COPD |
| title_sort | clinical factors and comorbidities affecting the cost of hospital treated copd |
| topic | COPD exacerbation cost comorbidity morbidity intensive care unit |
| url | https://www.dovepress.com/clinical-factors-and-comorbidities-affecting-the-cost-of-hospital-trea-peer-reviewed-article-COPD |
| work_keys_str_mv | AT denizs clinicalfactorsandcomorbiditiesaffectingthecostofhospitaltreatedcopd AT sengula clinicalfactorsandcomorbiditiesaffectingthecostofhospitaltreatedcopd AT aydemiry clinicalfactorsandcomorbiditiesaffectingthecostofhospitaltreatedcopd AT celdiremrej clinicalfactorsandcomorbiditiesaffectingthecostofhospitaltreatedcopd AT ozhanmh clinicalfactorsandcomorbiditiesaffectingthecostofhospitaltreatedcopd |