Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital
Aim:Chronic Obstructive Pulmonary Disease(COPD) is an important mortality and morbidity reason and brings serious burdens to the economies of countries.We analyzed differences in examination,treatment and approach that may affect the economic burden of COPD in hospitalized patients with a diagnosis...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Rabia Yılmaz
2022-07-01
|
| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2096245 |
| _version_ | 1797860610114846720 |
|---|---|
| author | Hasan Kahraman Serkan Yavuz |
| author_facet | Hasan Kahraman Serkan Yavuz |
| author_sort | Hasan Kahraman |
| collection | DOAJ |
| description | Aim:Chronic Obstructive Pulmonary Disease(COPD) is an important mortality and morbidity reason and brings serious burdens to the economies of countries.We analyzed differences in examination,treatment and approach that may affect the economic burden of COPD in hospitalized patients with a diagnosis of COPD exacerbation in state and university hospitals
Material and Methods:104 patients who were being treated in university hospital(UH) and 102 patients in State Hospital(SH) because of COPD were included.The difference in approach of physicians and cost analysis between two hospitals were compared
Results and Conslusion:The average age was higher in SH(p=0,01).Comorbities were higher in UH(p lt;0.001).The number of patients who received nebulizer treatment(p=0,02) in UH and total number of nebulizer medication used was higher in SH(p lt;0,001).The number of patients for whom intravenous(IV) medication was used and the number of total IV medication used was higher in SH(p lt;0,001).The total number of IM medication used was higher in UH(p lt;0,001).The number oral antibiotics used was higher in UH(p lt;0,001).The penicillins,macrolids,penicillin-macrolids were used more in patients in UH.The cephalosporins and quinolons were used more in SH(p lt;0,001).Inhaler corticosteroid(ICS)(p lt;0,001),salbutamol+ipratropiumbromur combination in nebulizer form(p lt;0,001) and IV teophilin was used in more patients in SH(p=0,01).The use of salbutamol in nebulizer form was more in UH(p lt;0,001).Spirometry,arterial blood gas analysis(respectively p lt;0,001,p lt;0,001),chest radiography was applied more in UH(p=0,02).Total cost(p lt;0,001),total and daily medication costs was more in SH(p lt;0,001).Costs other than medication was more in UH(p=0,02).We believe that adherence to the guidelines has a very important effect on cost in patients hospitalized with COPD exacerbation |
| first_indexed | 2024-04-09T21:48:39Z |
| format | Article |
| id | doaj.art-46d54cbae4e4423b8b7c694a9c29c25a |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:48:39Z |
| publishDate | 2022-07-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-46d54cbae4e4423b8b7c694a9c29c25a2023-03-24T19:43:26ZengRabia YılmazJournal of Contemporary Medicine2667-71802022-07-0112452052510.16899/jcm.10275311809Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State HospitalHasan Kahraman0Serkan Yavuz1KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNİVERSİTESİBeyhekim Eğitim ve Araştırma HastanesiAim:Chronic Obstructive Pulmonary Disease(COPD) is an important mortality and morbidity reason and brings serious burdens to the economies of countries.We analyzed differences in examination,treatment and approach that may affect the economic burden of COPD in hospitalized patients with a diagnosis of COPD exacerbation in state and university hospitals Material and Methods:104 patients who were being treated in university hospital(UH) and 102 patients in State Hospital(SH) because of COPD were included.The difference in approach of physicians and cost analysis between two hospitals were compared Results and Conslusion:The average age was higher in SH(p=0,01).Comorbities were higher in UH(p lt;0.001).The number of patients who received nebulizer treatment(p=0,02) in UH and total number of nebulizer medication used was higher in SH(p lt;0,001).The number of patients for whom intravenous(IV) medication was used and the number of total IV medication used was higher in SH(p lt;0,001).The total number of IM medication used was higher in UH(p lt;0,001).The number oral antibiotics used was higher in UH(p lt;0,001).The penicillins,macrolids,penicillin-macrolids were used more in patients in UH.The cephalosporins and quinolons were used more in SH(p lt;0,001).Inhaler corticosteroid(ICS)(p lt;0,001),salbutamol+ipratropiumbromur combination in nebulizer form(p lt;0,001) and IV teophilin was used in more patients in SH(p=0,01).The use of salbutamol in nebulizer form was more in UH(p lt;0,001).Spirometry,arterial blood gas analysis(respectively p lt;0,001,p lt;0,001),chest radiography was applied more in UH(p=0,02).Total cost(p lt;0,001),total and daily medication costs was more in SH(p lt;0,001).Costs other than medication was more in UH(p=0,02).We believe that adherence to the guidelines has a very important effect on cost in patients hospitalized with COPD exacerbationhttps://dergipark.org.tr/tr/download/article-file/2096245copddrugeconomic burdenstate hospitaluniversity hospitalkoahdevlet hastanesiekonomik yükilaçüniversite hastanesi |
| spellingShingle | Hasan Kahraman Serkan Yavuz Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital Journal of Contemporary Medicine copd drug economic burden state hospital university hospital koah devlet hastanesi ekonomik yük ilaç üniversite hastanesi |
| title | Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital |
| title_full | Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital |
| title_fullStr | Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital |
| title_full_unstemmed | Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital |
| title_short | Comparison of Patients with Chronic Obstructive Pulmonary Disease that Hospitalized in University Hospital and State Hospital |
| title_sort | comparison of patients with chronic obstructive pulmonary disease that hospitalized in university hospital and state hospital |
| topic | copd drug economic burden state hospital university hospital koah devlet hastanesi ekonomik yük ilaç üniversite hastanesi |
| url | https://dergipark.org.tr/tr/download/article-file/2096245 |
| work_keys_str_mv | AT hasankahraman comparisonofpatientswithchronicobstructivepulmonarydiseasethathospitalizedinuniversityhospitalandstatehospital AT serkanyavuz comparisonofpatientswithchronicobstructivepulmonarydiseasethathospitalizedinuniversityhospitalandstatehospital |