BURDEN OF ILLNESS OF CHRONIC CONDITIONS (CC) AMONG HOSPITALIZED PATIENTS- THE ARGENTINE-HEALTH CARE COST AND UTILIZATION PROJECT (A-HCUP)

Author(s)

Insua JT1, Giunta D2, Ioli P3, Villalon R11Hospital Universitario Austral, Universidad Austral, Derqui, Argentina, 2Hospital Italiando de Buenos Aires, Caba, Argentina, 3Hospital Privado de la Comunidad, Fundacion Medica de Mar del Plata, Mar del Plata, Buenos Aires, Argentina

OBJECTIVES: Non-Communicable Diseases (NCDs), are difficult to measure, so we used a Chronic Conditions (CC) table in a discharge registry to obtain them.  METHODS: In a 1 year output of 3 hospitals, a CC (MCRR, 2006; 63: 327 - 346) table was used. A Pareto rank of first 10 CCS with CC (+) in primary diagnosis (Dx1) and secondary diagnosis (Dx2) among ≥19 yrs old, costs, Clinical Classification Software-CCS single level-SL groupers (2009) (#CCS [descriptive term]), average length of stay (ALOS), total costs (CT$) mean and median per discharge cost ($), (25P-75P-percentiles), in international dollars PPP, (1Arg$ = 1.608 I$ PPP, 2008) were obtained.  CT$ of all CC burden is reported.  RESULTS: Among ≥ 19 years, 17169 Dx1 with CC (+) (37,76%), had CT$: I$ 243 893 494 (39,36% of hospital cost) and ($): I$ 14 473,04. 15 102 discharges had 1 or more CC(+) in Dx2 (32,97%), with a CT:I$ PPP 216 158 768, (1,86% of discharges not costed). The top 10 CCS with CC where 7489 discharges, a 16,35% of total discharges ≥19 years old, CT$: I$ 109 896 918. The first 10 CCS of the pareto ranking, mean age 42 years (SD 30,45 yrs), an ALOS was 3,54 (SD 5,07) days, with a ($): I$ 10 560,92 (SD I$ 18 101,73), a median cost of I$ 4057,56 (25-75 percentiles I$ 1022,97-8250,84). The CCS #45 [Maintenance chemotherapy; radiotherapy] of which 100% was CC (+) was ranked #1, followed by CCS #149 [Biliary tract disease], of which 19,34% was CC(+). In hospital mortality of CC (+) in Dx1 was 817 deaths (4,75%).    CONCLUSIONS: CC table obtained the Burden of CC in discharges at 38% of total costs. Behavior of CC in CCS are compatible with each condition. Future studies should address generalizability of results, accuracy of Dx2 coding and co-morbidity.

Conference/Value in Health Info

2012-06, ISPOR 2012, Washington, D.C., USA

Value in Health, Vol. 15, No. 4 (June 2012)

Code

PHP45

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Multiple Diseases

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