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https://doi.org/10.3390/ijerph16010088
Title: | Direct hospitalization cost of patients with acute exacerbation of chronic obstructive pulmonary disease in Vietnam | Authors: | Ngo, C.Q Bui, T.T Vu, G.V Chu, H.T Phan, P.T Pham, H.N Vu, G.T Nguyen, L.H Ha, G.H Tran, B.X Latkin, C.A Ho, C.S.H Ho, R.C.M |
Keywords: | antibiotic agent bronchodilating agent corticosteroid aged Article chronic obstructive lung disease controlled study cost benefit analysis cost control cross-sectional study disease exacerbation female Global Initiative for Chronic Obstructive Lung Disease Classification A Global Initiative for Chronic Obstructive Lung Disease Classification C Global Initiative for Chronic Obstructive Lung Disease Classification D health care utilization hospitalization cost human length of stay major clinical study male respiratory tract disease assessment treatment duration Viet Nam adolescent adult chronic obstructive lung disease drug cost economics hospital cost hospitalization middle aged retrospective study statistics and numerical data very elderly Viet Nam young adult Adolescent Adult Aged Aged, 80 and over Cross-Sectional Studies Drug Costs Female Hospital Costs Hospitalization Humans Male Middle Aged Pulmonary Disease, Chronic Obstructive Retrospective Studies Vietnam Young Adult |
Issue Date: | 2019 | Publisher: | MDPI | Citation: | Ngo, C.Q, Bui, T.T, Vu, G.V, Chu, H.T, Phan, P.T, Pham, H.N, Vu, G.T, Nguyen, L.H, Ha, G.H, Tran, B.X, Latkin, C.A, Ho, C.S.H, Ho, R.C.M (2019). Direct hospitalization cost of patients with acute exacerbation of chronic obstructive pulmonary disease in Vietnam. International Journal of Environmental Research and Public Health 16 (1) : 88. ScholarBank@NUS Repository. https://doi.org/10.3390/ijerph16010088 | Rights: | Attribution 4.0 International | Abstract: | Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) have been found to contribute, predominantly, to increasing costs of COPD—a major public health issue. This study aimed to fill the gap in literature concerning costs of AECOPD in Vietnam, by examining the direct cost of AECOPD hospitalization and determining potentially associated factors. A cross-sectional study was conducted at the Respiratory Center of Bach Mai Hospital, Hanoi. A total of 57 participants were selected. Information regarding sociodemographic features, clinical characteristics, and hospitalization costs were collected. A multivariate generalized linear regression model was utilized to determine the factors associated with hospitalization costs. The mean total and daily hospitalization cost were 18.3 million VND (SD = 12.9) and 2.5 million VND (SD = 3.2), respectively. Medication cost accounted for 53.9% of hospitalization cost (from 44.0% in the Global Initiative for Chronic Obstructive Lung Disease Classification A (GOLD A) to 55.3% in GOLD C). Patients having GOLD D COPD (Coef. = 5.78; 95% CI = 0.73–10.83), higher age (Coef. = 0.37; 95% CI = 0.13–0.61), and higher duration of hospitalization (Coef. = 1.91; 95% CI = 1.28–2.53) had higher hospitalization costs (p < 0.05). This study suggested that interventions to screen COPD patients as well as provide timely treatment should be conducted widely in the community in order to avoid any unnecessary hospitalization cost, consequently reducing the economic burden of COPD. © 2018 by the authors. Licensee MDPI, Basel, Switzerland. | Source Title: | International Journal of Environmental Research and Public Health | URI: | https://scholarbank.nus.edu.sg/handle/10635/183821 | ISSN: | 1661-7827 | DOI: | 10.3390/ijerph16010088 | Rights: | Attribution 4.0 International |
Appears in Collections: | Staff Publications Elements |
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