Your browser doesn't support javascript.
loading
Cost of hospitalisation and length of stay due to hypoglycaemia in patients with diabetes mellitus: a cross-sectional study
Naser, Abdallah Y; Alwafi, Hassan; Alsairafi, Zahra.
Afiliación
  • Naser, Abdallah Y; Isra University. Faculty of Pharmacy. Department of Applied Pharmaceutical Sciences and Clinical Pharmacy. Amman. Jordan
  • Alwafi, Hassan; Umm Al Qura University. Faculty of Medicine. Mecca. Saudi Arabia
  • Alsairafi, Zahra; Kuwait University. Department of Pharmacy Practice. Kuwait. Kuwait
Pharm. pract. (Granada, Internet) ; 18(2): 0-0, abr.-jun. 2020. tab
Artículo en Inglés | IBECS | ID: ibc-194060
Biblioteca responsable: ES1.1
Ubicación: BNCS
ABSTRACT

OBJECTIVE:

This study aims to estimate the length of stay and hospitalisation cost of hypoglycaemia, and to identify determinants of variation in the length of stay and hospitalisation cost among individual patients with type 1 or 2 diabetes mellitus.

METHODS:

A cross-sectional study was conducted using inpatients records for patients with diabetes mellitus who had been hospitalised due to hypoglycaemic events in two private hospitals in Amman, Jordan between January 2009 and May 2017. All hospitalisation costs were inflated to the equivalent costs in 2017. Hospitalisation cost was estimated from the patient's perspective in Jordanian dinars (JOD). Descriptive analyses and correlation between sociodemographic or clinical characteristics with the cost and length of stay were explored. Predictors of hypoglycaemic hospitalisation cost and length of stay were determined using logistic regression.

RESULTS:

During the study period a total of 126 patients with diabetes mellitus were hospitalised due to an incident of hypoglycaemia. The mean patient age was 64.2 (SD=19.6) years; half were male. Patients admitted for hypoglycaemia stayed in hospital for a median duration of two days (IQR=2 days). The median cost of hospitalisation for hypoglycaemia was 163.2 JOD (USD 230.1) (IQR=216.3 JOD). We found that the Glasgow coma score was positively associated with length of stay (0.345, p = 0.008), and older age was correlated with higher hospitalisation cost (0.207, p = 0.02). Patients with a family history of diabetes had higher hospitalisation costs and longer duration of stay (0.306 and 0.275, p < 0.05). In addition, being a male patient (0.394, p < 0.05) and with an absence of smoking history was associated with longer duration of stay (0.456, p < 0.01), but not with higher hospitalisation cost.

CONCLUSIONS:

Costs associated with the incidence of hypoglycaemic events are not low and constitute a large cost component of managing and treating diabetes mellitus. Male patients and patients having a family history of diabetes should receive extra care and education on the prevention of hypoglycaemic events, and a treatment de-intensification approach should be considered if necessary, so we can prevent its associated hospitalisation costs and length of stay
RESUMEN
No disponible
Asunto(s)

Texto completo: Disponible Colección: Bases de datos nacionales / España Base de datos: IBECS Asunto principal: Complicaciones de la Diabetes / Hospitalización / Hipoglucemia / Tiempo de Internación Límite: Adolescente / Adulto / Femenino / Humanos / Masculino Idioma: Inglés Revista: Pharm. pract. (Granada, Internet) Año: 2020 Tipo del documento: Artículo Institución/País de afiliación: Isra University/Jordan / Kuwait University/Kuwait / Umm Al Qura University/Saudi Arabia

Texto completo: Disponible Colección: Bases de datos nacionales / España Base de datos: IBECS Asunto principal: Complicaciones de la Diabetes / Hospitalización / Hipoglucemia / Tiempo de Internación Límite: Adolescente / Adulto / Femenino / Humanos / Masculino Idioma: Inglés Revista: Pharm. pract. (Granada, Internet) Año: 2020 Tipo del documento: Artículo Institución/País de afiliación: Isra University/Jordan / Kuwait University/Kuwait / Umm Al Qura University/Saudi Arabia
...