miércoles, 27 de julio de 2016

Marginal Hospital Cost of Surgery-related Hospital-acquired Pressure Ulcers. - PubMed - NCBI

Marginal Hospital Cost of Surgery-related Hospital-acquired Pressure Ulcers. - PubMed - NCBI



AHRQ Study Estimates Cost Increase When Surgical Patients Develop Pressure Ulcers

An AHRQ study found that 4 percent of patients 65 and older undergoing major surgery developed pressure ulcers, increasing the cost of their hospital stays by an average of 44 percent, or $8,200. Pressure ulcers developed in adults during hospital stays cost about $1.5 billion in 2012, authors estimated. To determine these estimates, the researchers used 2011–2012 data from AHRQ’s Healthcare Cost and Utilization Project State Inpatient Databases and the Medicare Patient Safety Monitoring System. The study, “Marginal Hospital Cost of Surgery-Related Hospital-Acquired Pressure Ulcers,” appeared in Medical Care. Access the abstract.

 2016 May 23. [Epub ahead of print]

Marginal Hospital Cost of Surgery-related Hospital-acquired Pressure Ulcers.

Abstract

BACKGROUND:

Patients who develop hospital-acquired pressure ulcers (HAPUs) are more likely to die, have longer hospital stays, and are at greater risk of infections. Patients undergoing surgery are prone to developing pressure ulcers (PUs).

OBJECTIVE:

To estimate the hospital marginal cost of a HAPU for adults patients who were hospitalized for major surgeries, adjusted for patient characteristics, comorbidities, procedures, and hospital characteristics.

RESEARCH DESIGN AND SUBJECTS:

Data are from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and the Medicare Patient Safety Monitoring System for 2011 and 2012. PU information was obtained using retrospective structured record review from trained MPMS data abstractors. Costs are derived using HCUP hospital-specific cost-to-charge ratios. Marginal cost estimates were made using Extended Estimating Equations. We estimated the marginal cost at the 25th, 50th, and 75th percentiles of the cost distribution using Simultaneous Quantile Regression.

RESULTS:

We find that 3.5% of major surgical patients developed HAPUs and that the HAPUs added ∼$8200 to the cost of a surgical stay after adjusting for comorbidities, patient characteristics, procedures, and hospital characteristics. This is an ∼44% addition to the cost of a major surgical stay but less than half of the unadjusted cost difference. In addition, we find that for high-cost stays (75th percentile) HAPUs added ∼$12,100, whereas for low-cost stays (25th percentile) HAPUs added ∼$3900.

CONCLUSIONS:

This paper suggests that HAPUs add ∼44% to the cost of major surgical hospital stays, but the amount varies depending on the total cost of the visit.

[PubMed - as supplied by publisher]

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