Extended length of stay and related costs associated with dementia in acute care hospitals in Ireland

被引:2
作者
Carter, L. [1 ]
Yadav, A. [2 ]
O'Neill, S. [3 ]
O'Shea, E. [1 ]
机构
[1] Natl Univ Ireland, Ctr Econ & Social Res Dementia, Inst Lifecourse & Soc, Galway, Ireland
[2] Natl Univ Ireland, JE Cairnes Sch Business & Econ, Galway, Ireland
[3] London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London, England
关键词
Dementia; acute hospitals; length of stay; PEOPLE; MULTICENTER; PREVALENCE;
D O I
10.1080/13607863.2022.2068128
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective To estimate the additional impact of dementia on in-patient length of stay (LOS) and related costs in Irish acute hospitals. Both principal and secondary diagnosis effects are estimated and valued. Methods This is a cross-sectional study based on administrative data collected on all public hospital in-patient discharges in Ireland for people aged 65 years and older in 2019. Coarsened exact matching (CEM) was undertaken to account for observed confounders between dementia and non-dementia groups, while generalised linear modelling (GLM) was used to compare differences in LOS. Results Patients with a principal diagnosis of dementia spent on average 17.5 (CI: 15.42, 19.56; p < .01) d longer in hospital than similar patients with no principal diagnosis of dementia. LOS was 6.7 (CI: 6.31, 7.14; p < .01) d longer for patients with a secondary diagnosis of dementia compared to similar patients with no secondary diagnosis of dementia. The additional annual cost of care for patients in hospitals with a secondary (principal) diagnosis of dementia was euro62.0 million (euro13.2 million). Conclusions This study highlights the economic impact of extended LOS for patients with dementia in Irish acute hospitals. Addressing specific dementia-related needs of people in hospital is likely to optimise resource use and decrease health care costs in acute care settings.
引用
收藏
页码:911 / 920
页数:10
相关论文
共 68 条
  • [1] [Anonymous], 2018, Healthcare-Associated Infections, DOI [DOI 10.1787/HEALTHGLANCEEUR-2018-EN, 10.1787/82129230-en, DOI 10.1787/82129230-EN]
  • [2] cem: Coarsened exact matching in Stata
    Blackwell, Matthew
    Iacus, Stefano
    King, Gary
    Porro, Giuseppe
    [J]. STATA JOURNAL, 2009, 9 (04) : 524 - 546
  • [3] Bracken-Scally M., 2020, 2 IR NAT AUD DEM CAR
  • [4] The "red herring" after 20 years: ageing and health care expenditures
    Breyer, Friedrich
    Lorenz, Normann
    [J]. EUROPEAN JOURNAL OF HEALTH ECONOMICS, 2021, 22 (05) : 661 - 667
  • [5] Acute hospital care: how much activity is attributable to caring for patients with dementia?
    Briggs, R.
    Coary, R.
    Collins, R.
    Coughlan, T.
    O'Neill, D.
    Kennelly, S. P.
    [J]. QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2016, 109 (01) : 41 - 44
  • [6] Cahill S., 2012, Creating excellence in dementia care
  • [7] Admission to long-stay residential care and mortality among people with and without dementia living at home but on the boundary of residential care: a competing risks survival analysis
    Carter, L.
    O'Neill, S.
    Austin, Peter C.
    Keogh, F.
    Pierce, M.
    O'Shea, E.
    [J]. AGING & MENTAL HEALTH, 2021, 25 (10) : 1869 - 1876
  • [8] Intensive home care supports, informal care and private provision for people with dementia in Ireland
    Carter, Laura
    O'Neill, Stephen
    Keogh, Fiona
    Pierce, Maria
    O'Shea, Eamon
    [J]. DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE, 2021, 20 (01): : 47 - 65
  • [9] Central Statistics Office, 2016, POPULATION PROJECTIO
  • [10] Comparison of Elixhauser and Charlson Methods for Predicting Oral Cancer Survival
    Chang, Heng-Jui
    Chen, Po-Chun
    Yang, Ching-Chieh
    Su, Yu-Chieh
    Lee, Ching-Chih
    [J]. MEDICINE, 2016, 95 (07) : e2861