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Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study
BACKGROUND: A health-economic evaluation related to COVID-19 is urgently needed to allocate healthcare resources efficiently; however, relevant medical cost data in Japan concerning COVID-19 are scarce. METHODS: This cross-sectional study investigated the healthcare cost for hospitalized COVID-19 pa...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351157/ https://www.ncbi.nlm.nih.gov/pubmed/37455306 http://dx.doi.org/10.1186/s12962-023-00453-9 |
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author | Uno, Shunsuke Goto, Rei Honda, Kimiko Tokuda, Machiko Kamata, Hirofumi Chubachi, Shotaro Yamamoto, Ryo Sato, Yukio Homma, Koichiro Uchida, Sho Namkoong, Ho Uwamino, Yoshifumi Sasaki, Junichi Fukunaga, Koichi Hasegawa, Naoki |
author_facet | Uno, Shunsuke Goto, Rei Honda, Kimiko Tokuda, Machiko Kamata, Hirofumi Chubachi, Shotaro Yamamoto, Ryo Sato, Yukio Homma, Koichiro Uchida, Sho Namkoong, Ho Uwamino, Yoshifumi Sasaki, Junichi Fukunaga, Koichi Hasegawa, Naoki |
author_sort | Uno, Shunsuke |
collection | PubMed |
description | BACKGROUND: A health-economic evaluation related to COVID-19 is urgently needed to allocate healthcare resources efficiently; however, relevant medical cost data in Japan concerning COVID-19 are scarce. METHODS: This cross-sectional study investigated the healthcare cost for hospitalized COVID-19 patients in 2021 at Keio University Hospital. We calculated the healthcare costs during hospitalization using hospital claims data and investigated the variables significantly related to the healthcare cost with multivariable analysis. RESULTS: The median healthcare cost per patient for the analyzed 330 patients was Japanese yen (JPY) 1,304,431 (US dollars ~ 11,871) (interquartile range: JPY 968,349–1,954,093), and the median length of stay was 10 days. The median healthcare cost was JPY 798,810 for mild cases; JPY 1,113,680 for moderate I cases; JPY 1,643,909 for moderate II cases; and JPY 6,210,607 for severe cases. Healthcare costs increased by 4.0% for each additional day of hospitalization; 1.26 times for moderate I cases, 1.64 times for moderate II cases, and 1.84 times for severe cases compared to mild cases; and 2.05 times for cases involving ICU stay compared to those not staying in ICU. CONCLUSIONS: We clarified the healthcare cost for hospitalized COVID-19 patients by severity in a Japanese university hospital. These costs contribute as inputs for forthcoming health economic evaluations for strategies for preventing and treating COVID-19. |
format | Online Article Text |
id | pubmed-10351157 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-103511572023-07-18 Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study Uno, Shunsuke Goto, Rei Honda, Kimiko Tokuda, Machiko Kamata, Hirofumi Chubachi, Shotaro Yamamoto, Ryo Sato, Yukio Homma, Koichiro Uchida, Sho Namkoong, Ho Uwamino, Yoshifumi Sasaki, Junichi Fukunaga, Koichi Hasegawa, Naoki Cost Eff Resour Alloc Research BACKGROUND: A health-economic evaluation related to COVID-19 is urgently needed to allocate healthcare resources efficiently; however, relevant medical cost data in Japan concerning COVID-19 are scarce. METHODS: This cross-sectional study investigated the healthcare cost for hospitalized COVID-19 patients in 2021 at Keio University Hospital. We calculated the healthcare costs during hospitalization using hospital claims data and investigated the variables significantly related to the healthcare cost with multivariable analysis. RESULTS: The median healthcare cost per patient for the analyzed 330 patients was Japanese yen (JPY) 1,304,431 (US dollars ~ 11,871) (interquartile range: JPY 968,349–1,954,093), and the median length of stay was 10 days. The median healthcare cost was JPY 798,810 for mild cases; JPY 1,113,680 for moderate I cases; JPY 1,643,909 for moderate II cases; and JPY 6,210,607 for severe cases. Healthcare costs increased by 4.0% for each additional day of hospitalization; 1.26 times for moderate I cases, 1.64 times for moderate II cases, and 1.84 times for severe cases compared to mild cases; and 2.05 times for cases involving ICU stay compared to those not staying in ICU. CONCLUSIONS: We clarified the healthcare cost for hospitalized COVID-19 patients by severity in a Japanese university hospital. These costs contribute as inputs for forthcoming health economic evaluations for strategies for preventing and treating COVID-19. BioMed Central 2023-07-16 /pmc/articles/PMC10351157/ /pubmed/37455306 http://dx.doi.org/10.1186/s12962-023-00453-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Uno, Shunsuke Goto, Rei Honda, Kimiko Tokuda, Machiko Kamata, Hirofumi Chubachi, Shotaro Yamamoto, Ryo Sato, Yukio Homma, Koichiro Uchida, Sho Namkoong, Ho Uwamino, Yoshifumi Sasaki, Junichi Fukunaga, Koichi Hasegawa, Naoki Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study |
title | Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study |
title_full | Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study |
title_fullStr | Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study |
title_full_unstemmed | Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study |
title_short | Healthcare costs for hospitalized COVID-19 patients in a Japanese university hospital: a cross-sectional study |
title_sort | healthcare costs for hospitalized covid-19 patients in a japanese university hospital: a cross-sectional study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351157/ https://www.ncbi.nlm.nih.gov/pubmed/37455306 http://dx.doi.org/10.1186/s12962-023-00453-9 |
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