Rise In Number Of Admissions Research Articles

MP27-17 ANALYSIS OF THE HEALTH CARE COST AND UTILIZATION PROJECT (HCUP) SHOWS THAT THE TOTAL ANNUAL CHARGES AND COSTS FOR INPATIENT CARE OF PATIENTS WITH RADIATION CYSTITIS ARE RISING

INTRODUCTION AND OBJECTIVE: The number of cancer survivors in the United States (US) is rising exponentially, with important financial implications. Up to 40% of cancer survivors in the US have received pelvic radiation, putting this population at risk for long term side effects of radiation injury to the urinary bladder. Our hypothesis was that the costs and charges associated with care for this growing population is rising and used HCUP to characterize the impact of increased cancer survivor longevity on the finances associated with inpatient care for radiation cystitis. METHODS: With IRB approval, we queried the Healthcare Cost and Utilization project (HCUP) National Inpatient Sample (NIS) using ICD-9 codes for radiation cystitis (595.82). Data on demographics, admission, and charges were analyzed from 2000 to 2016. Data on costs were first reported in 2006, and thus analyzed from 2006 to 2016. Costs and charges were adjusted for inflation using the Consumer Price Index. Trends over time were assessed using logistic regression analysis. RESULTS: Between 2000 and 2016, admissions for radiation cystitis increased from 1.41 to 2.40 per 100,000 patients (p<0.01). The associated mean hospital charges per admission, adjusted for inflation, increased from $20886.14 in 2000 to $55943.01 in 2016 (p<0.001). Mean cost of the admission, adjusted for inflation, was stable at $12375.15 in 2006 and $14185.49 in 2016 (p=0.5). Total annual charges for radiation cystitis increased from $40,646,866.89 in 2000 to $213,422,488.1 in 2016 (p<0.001) while total annual costs increased from $31,853,966.06 in 2006 to $54,117,607.32 in 2016 (p=0.02, Figure 1), both adjusted for inflation. CONCLUSIONS: Admissions for radiation cystitis have increased from 2000 to 2016. While the costs associated with each individual admission have remained stable, the charges have increased. However, driven by the rise in number of admissions, the annual burden of cost to the healthcare system has increased significantly. Future efforts aimed at prevention, education, and treatment of radiation cystitis are needed in order to reduce the economic burden on expenditures for these cancer survivors.Source of Funding: None

Effects of ambient air pollution exposure on frequency of hospital admissions for appendicitis in Taipei, Taiwan

TPS 681: Short-term health effects of air pollutants 1, Exhibition Hall, Ground floor, August 26, 2019, 3:00 PM - 4:30 PM The relationship between exposure to ambient air pollutants and hospital admissions for appendicitis is not known. This study examined whether an association existed between air contaminant levels and frequency of hospital admissions for appendicitis in Taipei, Taiwan. Ambient air pollution and hospital admission data for Taipei were obtained for 2009-2013. Relative risk (RR) of hospital admissions was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. In the single pollutant model, on warm days (> 23°C), number of appendicitis admissions was significantly associated with particulate matter (PM2.5), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O3). On cool days (< 23°C), a significant rise in number of admissions for appendicitis was related to PM10, NO2, and O3 concentrations. In the two-pollutant models, on warm days, NO2 and O3 were significantly associated with increased number of admissions for appendicitis when combined with each of the other pollutants. On cool days, NO2, O3, and PM10 remained significant for higher appendicitis admission cases in all two-pollutant models. In conclusion, higher levels of ambient air pollutants may be associated with increase in the risk of hospital admissions for appendicitis in Taipei.

Effects of ambient air pollution exposure on frequency of hospital admissions for appendicitis in Taipei, Taiwan

ABSTRACTThe relationship between exposure to ambient air pollutants and hospital admissions for appendicitis is not known. This study examined whether an association existed between air contaminant levels and frequency of hospital admissions for appendicitis in Taipei, Taiwan. Ambient air pollution and hospital admission data for Taipei were obtained for 2009–2013. Relative risk (RR) of hospital admissions was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. In the single pollutant model, on warm days (> 23°C), number of appendicitis admissions was significantly associated with particulate matter (PM2.5), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O3). On cool days (< 23°C), a significant rise in number of admissions for appendicitis was related to PM10, NO2, and O3 concentrations. In the two-pollutant models, on warm days, NO2 and O3 were significantly associated with increased number of admissions for appendicitis when combined with each of the other pollutants. On cool days, NO2, O3, and PM10 remained significant for higher appendicitis admission cases in all two-pollutant models. In conclusion, higher levels of ambient air pollutants may be associated with increase in the risk of hospital admissions for appendicitis in Taipei.

The impact of airborne particulate matter on pediatric hospital admissions for pneumonia among children in Jinan, China: A case-crossover study

ABSTRACTThis study aims to examine the effect of short-term changes in the concentration of particulate matter of diameter ≤2.5 µm (PM2.5) and ≤10 µm (PM10) on pediatric hospital admissions for pneumonia in Jinan, China. It explores confoundings factors of weather, season, and chemical pollutants. Information on pediatric hospital admissions for pneumonia in 2014 was extracted from the database of Jinan Qilu Hospital. The relative risk of pediatric hospital admissions for pneumonia was assessed using a case-crossover approach, controlling weather variables, day of the week, and seasonality. The single-pollutant model demonstrated that increased risk of pediatric hospital admissions for pneumonia was significantly associated with elevated PM2.5 concentrations the day before hospital admission and elevated PM10 concentrations 2 days before hospital admission. An increment of 10 μg/m3 in PM2.5 and PM10 was correlated with a 6% (95% CI 1.02–-1.10) and 4% (95% CI 1.00–1.08) rise in number of admissions for pneumonia, respectively. In two pollutant models, PM2.5 and PM10 remained significant after inclusion of sulfur dioxide or nitrogen dioxide but not carbon monoxide. This study demonstrated that short-term exposure to atmospheric particulate matter (PM2.5/PM10) may be an important determinant of pediatric hospital admissions for pneumonia in Jinan, China.Implications: This study demonstrated that short-term exposure to atmospheric particulate matter (PM2.5/PM10) may be an important determinant of pediatric hospital admissions for pneumonia in Jinan, China, and suggested the relevance of pollutant exposure levels and their effects. As a specific group, children are sensitive to airborne particulate matter. This study estimated the short-term effects attribute to other air pollutants to provide references for relevant studies.

Fine Particulate Air Pollution and Hospital Admissions for Pneumonia in a Subtropical City: Taipei, Taiwan

This study was undertaken to determine whether there was a correlation between fine particles (PM2.5) levels and hospital admissions for pneumonia in Taipei, Taiwan. Hospital admissions for pneumonia and ambient air pollution data for Taipei were obtained for the period from 2006 to 2010. The relative risk of hospital admissions for pneumonia was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single-pollutant model (without adjustment for other pollutants), increased numbers of admissions for pneumonia were significantly associated with higher PM2.5 levels both on warm days (>23°C) and on cool days (<23°C). This was accompanied by an interquartile range elevation correlated with a 12% (95% CI = 16%–13%) and 4% (95% CI = 3%–6%) rise in number of admissions for pneumonia, respectively. In the two-pollutant models, PM2.5 remained significant after inclusion of sulfur dioxide (SO2) or ozone (O3) both on warm and on cool days. This study provides evidence that higher levels of PM2.5 increase the risk of hospital admissions for pneumonia.