PHP24 - Economic Burden of Inpatient Post-Admission Dehydration – Retrospective Database Analysis in Us

Abstract

• PAD has a potential to add significant burden to hospital costs and resources. • Adopting strategies aimed at avoiding PAD may help in reducing hospital cost and resource burden and may improve patient outcomes. All patients:  Post-matching 86,398 pairs were identified.  Economic outcomes: • Mean total cost were significantly higher for the PAD group compared to NPAD group($33,945 vs. $22,380, p<0.0001). • Mean costs associated with room & board, central supply, surgery, pharmacy and other miscellaneous departments were also significantly higher for PAD group(all p<0.0001).  Clinical outcomes: • Compared to NPAD group, PAD group had higher mean LOS days(12.9 vs. 8.2, p<0.001) • PAD group also had a higher incidence of CAUTI(0.6 vs. 0.5%) and in-hospital mortality(8.6% vs. 7.8%) (both p<0.05). Sub-group analysis: • 50.2% of PAD patients were surgical patients. • The results for sub-group analysis were also significant for total costs(Medical patients: $22,065 vs. 15,700; Surgical patients: $45,728 vs. $32,091) and LOS days(Medical patients: 11.4 vs. 8.3; Surgical patients: 14.3 vs. 11.4) (all p<0.05).