Daily Hospitalization Costs in Patients with Deep Vein Thrombosis or Pulmonary Embolism Treated with Anticoagulant Therapy
Daily Hospitalization Costs in Patients with Deep Vein Thrombosis or Pulmonary Embolism Treated with Anticoagulant Therapy
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DOI：
10.1016/j.thromres.2014.11.024
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发表时间：
2015-02-01
影响因子：
7.5
通讯作者：
Nutescu, Edith A.
中科院分区：
文献类型：
--
作者：
Dasta, Joseph F.;Pilon, Dominic;Nutescu, Edith A.
背景：静脉血栓栓塞症(VTE)，包括深静脉血栓形成(DVT)和肺栓塞(PE)，在美国每年影响约90万人。目的：量化DVT和PE患者每日住院费用的进展。患者/方法：使用Premier透视比较医院数据库对2009年1月1日至2013年1月3日的索赔进行了回顾性分析。入选的患者年龄为18岁，有DVT或PE的入院/初步诊断，并接受抗凝治疗。报告了DVT和PE人群的治疗模式、平均每日费用和总住院费用。结果：共有28953名和35550名患者被诊断为DVT和PE。在DVT患者的前三天，每天的费用最高，分别为2321美元、1875美元和1558美元。在PE患者中也发现了类似的结果，前三天的成本最高，分别为2981美元、2034美元和1564美元。在DVT和PE人群中，日均住院费用分别为1594美元和1735美元，住院第3天的日均住院费用趋于稳定(标化差为10%)。结论：DVT或PE入院/初诊患者的日均住院费用在第1天较高，第3天趋于稳定。有人进一步指出，LOS的任何变化都会对住院费用产生重大影响。(C)2014年提交人。爱思唯尔有限公司出版。
Background: Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), affects about 900,000 persons in the United States each year.Objectives: To quantify the progression of daily hospitalization costs among DVT and PE patients. Patients/Methods: A retrospective claims analysis was conducted from 01/01/2009 to 03/01/2013 using the Premier Perspective Comparative Hospital Database. Patients >= 18 years of age with an admitting/primary diagnosis of DVT or PE and receiving anticoagulant therapy were identified. Treatment patterns, mean daily costs, and total hospitalization costs were reported for the DVT and PE populations. Comparisons of mean daily costs with those of the previous day were presented to identify statistical cost differences between hospitalization days.Results: A total of 28,953 and 35,550 patients were identified with a diagnosis of DVT and PE, respectively. The daily costs were at their highest during the first three days for DVT patients at $2,321, $1,875, and $1,558, respectively. Similar results were found for PE patients with costs at their highest in the first three days, at $2,981, $2,034, and $1,564, respectively. Among the DVT and PE populations, mean daily costs were $1,594 and $1,735, respectively, and daily hospitalization costs became stable on the third day of the hospitalization (standardized differences < 10%).Conclusions: Daily hospitalization costs of patients with an admitting/primary diagnosis of DVT or PE were high in the first days and became stable on the third day. It was further suggested that any change in the LOS could significantly affect hospitalization costs. (C) 2014 The Authors. Published by Elsevier Ltd.