The Cost and Inpatient Burden of Treating Mandible Fractures: A Nationwide Inpatient Sample Database Analysis

2013 ◽  
Vol 149 (2_suppl) ◽  
pp. P143-P144
Author(s):  
Israel Pena ◽  
William M. Guy ◽  
Jose Pedro Zevallos
Keyword(s):  
Nationwide Inpatient Sample ◽  
Database Analysis ◽  
Nationwide Inpatient Sample Database ◽  
Mandible Fractures ◽  
The Cost

Palliative Care in Ruptured Aortic Aneurysm in the United States: A Retrospective Analysis of Nationwide Inpatient Sample Database

Angiology ◽  
2020 ◽  
Vol 71 (7) ◽  
pp. 633-640
Author(s):  
Tomo Ando ◽  
Oluwole Adegbala ◽  
Takeshi Uemura ◽  
Said Ashraf ◽  
Emmanuel Akintoye ◽  
...  
Keyword(s):  
Palliative Care ◽  
Aortic Aneurysm ◽  
Length Of Stay ◽  
Nationwide Inpatient Sample ◽  
The United States ◽  
Hospitalization Cost ◽  
Ruptured Aortic Aneurysm ◽  
Nationwide Inpatient Sample Database ◽  
The Cost ◽  
Repair Group

We assessed the trend of palliative care (PC) referrals and its effect on hospitalization cost and length of stay (LOS) in ruptured aortic aneurysm (rAA). The Nationwide Inpatient Sample from 2005 to 2014 was used to identify admissions with age ≥50 and rAA. A total of 54 134 rAA admissions were identified and 5019 (9.3%) had PC referrals. During the study period, PC referral rate increased from 0.97% to 15.3% ( P trend < .0001). Length of stay (1.7 vs 2.8 days, adjusted mean ratio [aMR] = 0.62, 95% confidence interval [CI]: 0.58-0.66), and cost (US$7778 vs US$13 575, aMR = 0.57, 95% CI: 0.52-0.63) were significantly lower in rAA admissions that did not undergo interventions. In the percutaneous repair group, LOS was similar but the cost was higher (US$61 759 vs US$52 260, aMR = 1.18, 95% CI: 1.05-1.30), whereas in surgical repair group, LOS was shorter (4.6 vs 5.9 days, aMR = 0.77, 95% CI: 0.73-0.82) but the cost was higher (US$59 755 vs US$52 523, aMR = 1.14, 95% CI: 1.02-1.28). Palliative care could shorten LOS and save hospitalization cost in rAA admissions not a candidate for repair. Further studies are required to investigate the variable effects of PC on rAA.

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