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https://hdl.handle.net/11499/6722
Title: | Therapy costs of adult patients admitting to emergency unit of a university hospital with asthma acute attack | Authors: | Serinken, Mustafa Dursunoglu, Neşe Çimrin, A.H. |
Keywords: | Asthma attack Emergency unit Hospital cost academic achievement adolescent adult article asthma comorbidity controlled study data analysis disease duration disease severity emergency ward female health insurance hospital cost human major clinical study male patient compliance primary school retrospective study rural area statistical significance university hospital Acute Disease Adolescent Adult Asthma Costs and Cost Analysis Educational Status Emergency Medical Services Emergency Service, Hospital Female Health Care Costs Hospital Costs Humans Male Middle Aged Patient Admission Patient Compliance Retrospective Studies Rural Population Severity of Illness Index Turkey Young Adult |
Abstract: | In the present study, hospital costs of patients who admitted to the emergency department with asthma attack and several variables that could effect this cost were analyzed and data were collected in order to reduce economical burden of that disease was aimed. Between September 2005 and February 2007 patients with acute asthma attack, admitted to Pamukkale University Hospital Emergency Department were retrospectively evaluated. Totally 108 patients who met the inclusion criteria admitted to the emergency department with asthma acute attack. Of those 97 were women (89.8%). Forty mild, 51 moderate, 15 severe and 2 life-threatening attacks were detected. Severe and life-threatening attacks were more frequent in patients graduated from primary school compared with the other groups. Mean therapy costs of the patients who were hospitalized and treated in the emergency department were 836.60 ± 324.30 TL (Turkish Lira) and 170.66 ± 86.71 TL respectively. Treatment procedures consisted of 45.8% of and 38.5% hospital costs for patients treated in the emergency department and for patients hospitalized respectively. There was a statistically significant difference in the comparison of costs according to the attack severity (p= 0.0001). Education level of the patients had a significant effect on hospital costs (p= 0.025). Comorbidities were found a significant increasing factor of treatment costs (p= 0.017). There were no effects of sex, age, medical insurance or duration of asthma disease on the hospital costs. The relation between loweducation level, living in the rural area and admissions with severe attacks of asthma to emergency department show the importance of treatment success with patient compliance. Positive and negative factors effecting disease control should be detected by evaluating larger populations to reduce economical burden of asthma. | URI: | https://hdl.handle.net/11499/6722 | ISSN: | 0494-1373 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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