The rising cost of infective endocarditis in West Virginia.

IF 2.5 4区医学 Q3 INFECTIOUS DISEASES Epidemiology and Infection Pub Date : 2024-12-26 DOI:10.1017/S0950268824001869

Ruchi Bhandari, Noor Abdulhay, R Constance Wiener, Dalton Smith, Melanie Fisher

{"title":"The rising cost of infective endocarditis in West Virginia.","authors":"Ruchi Bhandari, Noor Abdulhay, R Constance Wiener, Dalton Smith, Melanie Fisher","doi":"10.1017/S0950268824001869","DOIUrl":null,"url":null,"abstract":"<p><p>The financial burden of hospitalization from life-threatening infectious diseases on the U.S. healthcare system is substantial and continues to increase. The purpose of this study was to identify key predictors of high hospital charges for infective endocarditis at a major university-affiliated cardiac care centre in West Virginia.A retrospective electronic medical records' review was undertaken of all adult patients admitted for endocarditis between 2014-2018. Multiple linear regression analysis assessed the total charges billed to the patient account for their endocarditis hospitalization in the medical record.Hospital charges have increased 12-fold during 2014-2018. Among the 486 patients, the median hospital charge was $198 678. About 47% of the patients underwent surgery incurring 70% of the total charges. Patients with hospital stays of ≥50 days accounted for a third of all charges. The multiple linear regression model accounted for 85% of the linear variance in the hospital charges. Median charges increased by 30.87% for patients with ≥9 consultations, 60.32% for those who died in the hospital, and 81.85% for those who underwent surgical intervention.The study findings showed that complex care requiring multiple consultations, surgical interventions, and longer hospital stays were significantly associated with higher hospital charges for endocarditis treatment.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e9"},"PeriodicalIF":2.5000,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729478/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiology and Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0950268824001869","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

The financial burden of hospitalization from life-threatening infectious diseases on the U.S. healthcare system is substantial and continues to increase. The purpose of this study was to identify key predictors of high hospital charges for infective endocarditis at a major university-affiliated cardiac care centre in West Virginia.A retrospective electronic medical records' review was undertaken of all adult patients admitted for endocarditis between 2014-2018. Multiple linear regression analysis assessed the total charges billed to the patient account for their endocarditis hospitalization in the medical record.Hospital charges have increased 12-fold during 2014-2018. Among the 486 patients, the median hospital charge was $198 678. About 47% of the patients underwent surgery incurring 70% of the total charges. Patients with hospital stays of ≥50 days accounted for a third of all charges. The multiple linear regression model accounted for 85% of the linear variance in the hospital charges. Median charges increased by 30.87% for patients with ≥9 consultations, 60.32% for those who died in the hospital, and 81.85% for those who underwent surgical intervention.The study findings showed that complex care requiring multiple consultations, surgical interventions, and longer hospital stays were significantly associated with higher hospital charges for endocarditis treatment.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

西维吉尼亚州感染性心内膜炎费用的上升。

危及生命的传染病给美国医疗保健系统带来的住院治疗的经济负担是巨大的，而且还在继续增加。本研究的目的是确定西弗吉尼亚州一所主要大学附属心脏护理中心感染性心内膜炎高医院收费的关键预测因素。对2014-2018年间因心内膜炎入院的所有成年患者进行了回顾性电子病历审查。多元线性回归分析评估了患者在医疗记录中因心内膜炎住院的总费用。2014-2018年期间，医院收费增长了12倍。在这486名病人中，医院收费中位数为198678元。约47%的患者接受了手术，费用占总费用的70%。住院≥50天的患者占所有收费的三分之一。多元线性回归模型可解释85%的医院收费线性方差。就诊次数≥9次的患者中位收费增加30.87%，在医院死亡的患者中位收费增加60.32%，接受手术干预的患者中位收费增加81.85%。研究结果表明，复杂的护理需要多次咨询，手术干预和较长的住院时间与心内膜炎治疗的医院费用较高显着相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Epidemiology and Infection 医学-传染病学

CiteScore

4.10

自引率

2.40%

发文量

366

审稿时长

3-6 weeks

期刊介绍： Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.