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Economic burden of hospitalizations of Medicare beneficiaries with heart failure
OBJECTIVE: The objective of this study was to assess the costs associated with the hospitalization and the cumulative 30-, 60-, and 90-day readmission rates in a cohort of Medicare beneficiaries with heart failure (HF). METHODS: This was a retrospective, observational study based on data from the na...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436769/ https://www.ncbi.nlm.nih.gov/pubmed/28546776 http://dx.doi.org/10.2147/RMHP.S130341 |
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author | Kilgore, Meredith Patel, Harshali K Kielhorn, Adrian Maya, Juan F Sharma, Pradeep |
author_facet | Kilgore, Meredith Patel, Harshali K Kielhorn, Adrian Maya, Juan F Sharma, Pradeep |
author_sort | Kilgore, Meredith |
collection | PubMed |
description | OBJECTIVE: The objective of this study was to assess the costs associated with the hospitalization and the cumulative 30-, 60-, and 90-day readmission rates in a cohort of Medicare beneficiaries with heart failure (HF). METHODS: This was a retrospective, observational study based on data from the national 5% sample of Medicare beneficiaries. Inpatient data were gathered for Medicare beneficiaries with at least one HF-related hospitalization between July 1, 2005, and December 31, 2011. The primary end point was the average per-patient cost of hospitalization for individuals with HF. Secondary end points included the cumulative rate of hospitalization, the average length of hospital stay, and the cumulative 30-, 60-, and 90-day readmission rates. RESULTS: Data from 63,678 patients with a mean age of 81.8 years were included in the analysis. All costs were inflated to $2,015 based on the medical care component of the Consumer Price Index. The mean per-patient cost of an HF-related hospitalization was $14,631. The mean per-patient cost of a cardiovascular (CV)-related or all-cause hospitalization was $16,000 and $15,924, respectively. The cumulative rate of all-cause hospitalization was 218.8 admissions per 100 person-years, and the median length of stay for HF-related, CV-related, and all-cause hospitalizations was 5 days. Also, 22.3% of patients were readmitted within 30 days, 33.3% were readmitted within 60 days, and 40.2% were readmitted within 90 days. CONCLUSION: The costs associated with hospitalization for Medicare beneficiaries with HF are substantial and are compounded by a high rate of readmission. |
format | Online Article Text |
id | pubmed-5436769 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-54367692017-05-25 Economic burden of hospitalizations of Medicare beneficiaries with heart failure Kilgore, Meredith Patel, Harshali K Kielhorn, Adrian Maya, Juan F Sharma, Pradeep Risk Manag Healthc Policy Original Research OBJECTIVE: The objective of this study was to assess the costs associated with the hospitalization and the cumulative 30-, 60-, and 90-day readmission rates in a cohort of Medicare beneficiaries with heart failure (HF). METHODS: This was a retrospective, observational study based on data from the national 5% sample of Medicare beneficiaries. Inpatient data were gathered for Medicare beneficiaries with at least one HF-related hospitalization between July 1, 2005, and December 31, 2011. The primary end point was the average per-patient cost of hospitalization for individuals with HF. Secondary end points included the cumulative rate of hospitalization, the average length of hospital stay, and the cumulative 30-, 60-, and 90-day readmission rates. RESULTS: Data from 63,678 patients with a mean age of 81.8 years were included in the analysis. All costs were inflated to $2,015 based on the medical care component of the Consumer Price Index. The mean per-patient cost of an HF-related hospitalization was $14,631. The mean per-patient cost of a cardiovascular (CV)-related or all-cause hospitalization was $16,000 and $15,924, respectively. The cumulative rate of all-cause hospitalization was 218.8 admissions per 100 person-years, and the median length of stay for HF-related, CV-related, and all-cause hospitalizations was 5 days. Also, 22.3% of patients were readmitted within 30 days, 33.3% were readmitted within 60 days, and 40.2% were readmitted within 90 days. CONCLUSION: The costs associated with hospitalization for Medicare beneficiaries with HF are substantial and are compounded by a high rate of readmission. Dove Medical Press 2017-05-10 /pmc/articles/PMC5436769/ /pubmed/28546776 http://dx.doi.org/10.2147/RMHP.S130341 Text en © 2017 Kilgore et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Kilgore, Meredith Patel, Harshali K Kielhorn, Adrian Maya, Juan F Sharma, Pradeep Economic burden of hospitalizations of Medicare beneficiaries with heart failure |
title | Economic burden of hospitalizations of Medicare beneficiaries with heart failure |
title_full | Economic burden of hospitalizations of Medicare beneficiaries with heart failure |
title_fullStr | Economic burden of hospitalizations of Medicare beneficiaries with heart failure |
title_full_unstemmed | Economic burden of hospitalizations of Medicare beneficiaries with heart failure |
title_short | Economic burden of hospitalizations of Medicare beneficiaries with heart failure |
title_sort | economic burden of hospitalizations of medicare beneficiaries with heart failure |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436769/ https://www.ncbi.nlm.nih.gov/pubmed/28546776 http://dx.doi.org/10.2147/RMHP.S130341 |
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