与急性胰腺炎相关的医疗保健利用和费用

Health Care Utilization and Costs Associated With Acute Pancreatitis.

作者信息

Wadhwa Vaibhav, Patwardhan Soumil, Garg Sushil K, Jobanputra Yash, Lopez Rocio, Sanaka Madhusudhan R

机构信息

From the *Department of Internal Medicine, Fairview Hospital, Cleveland Clinic, OH; †Department of Internal Medicine, University of Massachusetts Medical School, Worcester, MA; ‡Department of Internal Medicine, University of Minnesota, Minneapolis, MN; and Departments of §Gastroenterology and Hepatology, and ∥Biostatistics and Quantitative Health Sciences, Cleveland Clinic, OH.

出版信息

Pancreas. 2017 Mar;46(3):410-415. doi: 10.1097/MPA.0000000000000755.

DOI:10.1097/MPA.0000000000000755

PMID:28099261

Abstract

OBJECTIVE

Acute pancreatitis is a common inpatient diagnosis among gastrointestinal disorders. The aim of this study was to evaluate the incidence of inpatient admissions, costs, and mortality rates associated with acute pancreatitis in the United States.

METHODS

We analyzed the National Inpatient Sample for all patients in which acute pancreatitis (International Classification of Diseases, Ninth Revision code: 577.0) was the principal discharge diagnosis during the period 1997-2012. The statistical significance of the difference in the hospital discharges, length of stay, and costs over the study period was determined by utilization of regression analysis.

RESULTS

In 1997, there were 164,776 admissions with a principal discharge diagnosis of acute pancreatitis as compared with 275,170 in 2012 (P < 0.001). The mean length of stay for acute pancreatitis decreased from 6.4 days in 1997 to 4.7 days in 2012 (P < 0.001). However, during this period, the mean hospital charges increased by 118.6% from $15,433 in 1997 to $33,744 in 2012 (P < 0.001). The in-hospital mortality rate decreased significantly from 1.9% in 1997 to 0.78% in 2012 (P < 0.001).

CONCLUSIONS

Inpatient admissions for acute pancreatitis and associated costs have increased markedly over the last 16 years in the United States. However, the lengths of stay and mortality rates have decreased significantly.

摘要

目的

急性胰腺炎是胃肠疾病中常见的住院诊断疾病。本研究的目的是评估美国急性胰腺炎的住院发病率、费用及死亡率。

方法

我们分析了国家住院患者样本，选取1997 - 2012年期间以急性胰腺炎（国际疾病分类第九版编码：577.0）作为主要出院诊断的所有患者。通过回归分析确定研究期间医院出院人数、住院时间和费用差异的统计学意义。

结果

1997年，主要出院诊断为急性胰腺炎的入院人数为164,776例，而2012年为275,170例（P < 0.001）。急性胰腺炎的平均住院时间从1997年的6.4天降至2012年的4.7天（P < 0.001）。然而，在此期间，平均住院费用增长了118.6%，从1997年的15,433美元增至2012年的33,744美元（P < 0.001）。住院死亡率从1997年的1.9%显著降至2012年的0.78%（P < 0.001）。