Hospital length of stay and cost burden of HIV, tuberculosis, and HIV-tuberculosis coinfection among pregnant women in the United States.
Am J Infect Control
; 46(5): 564-570, 2018 05.
Article
em En
| MEDLINE
| ID: mdl-29108662
ABSTRACT
BACKGROUND:
We sought to determine hospital length of stay (LOS) and cost burden associated with hospital admissions among pregnant women with HIV monoinfection, tuberculosis (TB) monoinfection, or HIV-TB coinfection in the United States.METHODS:
Analysis covered the period from 2002-2014 using data from the Nationwide Inpatient Sample. Relevant ICD-9-CM codes were used to determine HIV and TB status. Costs associated with hospitalization were calculated and adjusted to 2010 dollars using the medical care component of the Consumer Price Index.RESULTS:
We found modest annual average reduction in HIV, TB, and HIV-TB coinfection rates over the study period. The mean LOS was lowest among mothers free of HIV or TB disease and highest among those with HIV-TB coinfection. The average LOS among mothers diagnosed with TB monoinfection was 60% higher than for those with HIV monoinfection. The cost associated with pregnancy-related hospital admissions among mothers with HIV was approximately 30% higher than disease-free mothers, and the cost more than doubled among patients with TB monoinfection or HIV-TB coinfection.CONCLUSIONS:
TB significantly increased hospital care cost among HIV-positive and HIV-negative pregnant women.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
/
3_ND
Problema de saúde:
1_financiamento_saude
/
2_enfermedades_transmissibles
/
3_neglected_diseases
/
3_tuberculosis
Assunto principal:
Complicações Infecciosas na Gravidez
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Tuberculose
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Infecções por HIV
/
Custos Hospitalares
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Coinfecção
/
Tempo de Internação
Tipo de estudo:
Health_economic_evaluation
Limite:
Adolescent
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Adult
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Female
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Humans
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Middle aged
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Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Infect Control
Ano de publicação:
2018
Tipo de documento:
Article