Health Disparities in Length of Stay and Total Cost of Care for Heart Failure Discharges

2.50
Hdl Handle:
http://hdl.handle.net/10755/147671
Type:
Presentation
Title:
Health Disparities in Length of Stay and Total Cost of Care for Heart Failure Discharges
Abstract:
Health Disparities in Length of Stay and Total Cost of Care for Heart Failure Discharges
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Hatzfeld, Jennifer J., MEd, MSN, RN-BC
P.I. Institution Name:Johns Hopkins University
Title:Doctoral Candidate
Co-Authors:Stuart Russell, MD; JoAnn Z. Ioannou, RN, MSN, MBA; Edward K. Kasper, MD, FACC; Karen K. Davis, MSN, RN; Peter Pronovost, MD, PhD; Cheryl R. Dennison, RN, ANP, PhD
[Scientific session research presentation] Background: Management of heart failure (HF) in the acute care setting is complex and challenging. The direct and indirect cost of HF in 2006 was estimated at 29.6 billion dollars. African Americans, women, and elderly are disproportionately affected by heart failure. Purpose: Outcomes of HF were compared, including length of stay (LOS), 30 day readmission status, total admission cost, and in-hospital mortality by gender, race, and age. Methods: In this descriptive, comparative study, medical record data for hospital discharges between October 1, 2004 and September 30, 2006 from 2 urban academic medical centers was examined. Discharges were included if primary diagnosis was HF and excluded if < 21 years of age or LOS exceeded 30 days.  T-tests and ANOVA were used for comparisons. Results: Over 2 years, there were 3211 HF discharges. Of these, 52% had a HF admitting diagnosis; 50% were female; 46% African American. Mean age was 65 +/- 15 years, LOS 5.0 +/- 4.6 days, total admission cost $16,552 +/- 21,662. Rate for 30-day readmission status was 20% and in-hospital mortality, 1.8%. As shown in the summary data, below, significant differences were noted in LOS by gender (p<0.01) and age (p<0.05). Total admission cost differed significantly by gender (p<0.01), age (p<0.01), and race (p<.01). There were no significant group differences in HF admitting diagnosis, in-hospital mortality rate, or 30-day readmission status.-----------
------------------------------------------------Cost ($), ----------LOS (days), -----------------------------------------------------------------------------------mean +/- SD------mean +/- SD-----------------------------------Gender---------------------------------------------------------------------------------------------------------------------Male--------------------------------19,355 +/- 25,830------5.38 +/- 4.95---------------------------------------Female ---------------------------13,705 +/- 15,887------4.66 +/- 4.09 ---------------------------------Race------------------------------------------------------------------------------------------------------------------------Caucasian ------------------------17,580 +/- 23,885------ 5.09 +/- 4.69*--------------------------------------African American --------------14,951 +/- 18,381-------4.93 +/- 4.34*--------------------------------------------*results not significant (p=0.587)----------------------------------------------------------------------Age, in years---------------------------------------------------------------------------------------------------------------21-39---------------------------- 20,258 +/- 25,186-----5.60 +/- 5.10------------------------------------- ----40-59-----------------------------17,106 +/- 24,983-----4.87 +/- 4.47------------------------------------- ----60-79-----------------------------17,762 +/- 21,698-----5.18 +/- 4.82----------------------------------- ------ >80-------------------------------11,949 +/- 11,907-----4.75 +/- 3.85--------------------------------- Cost of admission were identified. Further research is required to explore factors that may contribute to these disparities as well as the impact of these inequalities in acute care on overall HF disease management.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHealth Disparities in Length of Stay and Total Cost of Care for Heart Failure Dischargesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147671-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Health Disparities in Length of Stay and Total Cost of Care for Heart Failure Discharges</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hatzfeld, Jennifer J., MEd, MSN, RN-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jhatzfe1@son.jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Stuart Russell, MD; JoAnn Z. Ioannou, RN, MSN, MBA; Edward K. Kasper, MD, FACC; Karen K. Davis, MSN, RN; Peter Pronovost, MD, PhD; Cheryl R. Dennison, RN, ANP, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Background: Management of heart failure (HF) in the acute care setting is complex and challenging. The direct and indirect cost of HF in 2006 was estimated at 29.6 billion dollars. African Americans, women, and elderly are disproportionately affected by heart failure. Purpose: Outcomes of HF were compared, including length of stay (LOS), 30 day readmission status, total admission cost, and in-hospital mortality by gender, race, and age. Methods: In this descriptive, comparative study, medical record data for hospital discharges between October 1, 2004 and September 30, 2006 from 2 urban academic medical centers was examined. Discharges were included if primary diagnosis was HF and excluded if &lt; 21 years of age or LOS exceeded 30 days.&nbsp; T-tests and ANOVA were used for comparisons. Results: Over 2 years, there were 3211 HF discharges. Of these, 52% had a HF admitting diagnosis; 50% were female; 46% African American. Mean age was 65 +/- 15 years, LOS 5.0 +/- 4.6 days, total admission cost $16,552 +/- 21,662. Rate for 30-day readmission status was 20% and in-hospital mortality, 1.8%. As shown in the summary data, below, significant differences were noted in LOS by gender (p&lt;0.01) and age (p&lt;0.05). Total admission cost differed significantly by gender (p&lt;0.01), age (p&lt;0.01), and race (p&lt;.01). There were no significant group differences in HF admitting diagnosis, in-hospital mortality rate, or 30-day readmission status.----------- <br/>------------------------------------------------Cost ($), ----------LOS (days), -----------------------------------------------------------------------------------mean +/- SD------mean +/- SD-----------------------------------Gender---------------------------------------------------------------------------------------------------------------------Male--------------------------------19,355 +/- 25,830------5.38 +/- 4.95---------------------------------------Female ---------------------------13,705 +/- 15,887------4.66 +/- 4.09 ---------------------------------Race------------------------------------------------------------------------------------------------------------------------Caucasian ------------------------17,580 +/- 23,885------ 5.09 +/- 4.69*--------------------------------------African American --------------14,951 +/- 18,381-------4.93 +/- 4.34*--------------------------------------------*results not significant (p=0.587)----------------------------------------------------------------------Age, in years---------------------------------------------------------------------------------------------------------------21-39---------------------------- 20,258 +/- 25,186-----5.60 +/- 5.10------------------------------------- ----40-59-----------------------------17,106 +/- 24,983-----4.87 +/- 4.47------------------------------------- ----60-79-----------------------------17,762 +/- 21,698-----5.18 +/- 4.82----------------------------------- ------ &gt;80-------------------------------11,949 +/- 11,907-----4.75 +/- 3.85--------------------------------- Cost of admission were identified. Further research is required to explore factors that may contribute to these disparities as well as the impact of these inequalities in acute care on overall HF disease management.</td></tr></table>en_GB
dc.date.available2011-10-26T09:34:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:34:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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