1. Predictors of costs from the hospital perspective of primary pulmonary embolism
- Author
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Magali Pirson, Lionel Di Pierdomenico, Serge Motte, Christian Melot, Pol Leclercq, and Dimitri Martins
- Subjects
Adult ,Male ,Pulmonary and Respiratory Medicine ,Pediatrics ,medicine.medical_specialty ,Total cost ,Myocardial Ischemia ,Comorbidity ,030204 cardiovascular system & hematology ,Hospitals, General ,law.invention ,Cohort Studies ,Pulmonary Disease, Chronic Obstructive ,03 medical and health sciences ,0302 clinical medicine ,Belgium ,Pulmonary Heart Disease ,law ,Severity of illness ,medicine ,Humans ,Thrombolytic Therapy ,Hospital Costs ,health care economics and organizations ,Aged ,Aged, 80 and over ,Heart Failure ,Venous Thrombosis ,business.industry ,Age Factors ,Diagnosis-related group ,Emergency department ,Length of Stay ,Middle Aged ,medicine.disease ,Intensive care unit ,Pulmonary embolism ,Hospitalization ,Intensive Care Units ,030228 respiratory system ,Female ,Pulmonary Embolism ,business ,Cohort study - Abstract
The objective of this study was to estimate the total hospital cost per patient admitted through the emergency department with a primary diagnosis of pulmonary embolism (PE), and to identify the main components and predictors of costs.Actual costs of care of 652 consecutive patients hospitalised in 10 general hospitals in Belgium, including 31 outlier patients in terms of length of stay (4.8%), were obtained by aggregating all cost components contributing to care of each patient.In both inlier and outlier patients, the mean total cost per patient increased linearly with the degree of severity of illness classes related to the All Patient Refined Diagnosis Related Group (pAn increasing burden of comorbid illness was strongly associated with increasing actual cost for caring hospitalised patients for PE. Increasing age was associated with an increase in all main cost components.
- Published
- 2015
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