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  1. An intervention program to reduce the hospitalization cost of asthmatic patients requiring intubation.

    Article - En anglais

    Background 

    Asthma is the single disease that accounts for the largest proportion of total health care cost in the US.

    Objective 

    To analyze whether an asthma management program affected the cost of subsequent asthma care for patients in whom intubation had been necessary.

    Methods 

    We evaluated patients with asthma who (1) had required intubation for treatment of status asthmaticus ; (2) were 45 years old or younger ; (3) had regular follow-up visits in our clinic for 1 year after initial evaluation ; and (4) had complete medical records I year before and 1 year after the intervention for our evaluation.

    Medical costs of asthma treatment for each patient were determined for 1 year before and I year after intervention.

    The program included patient education, regular outpatient visits, specialist care, and access to the Allergy Immunology emergency call service.

    The outcome measures were the total cost of care, inpatient hospitalizations, outpatient services, emergency services, and medicine costs.

    Results 

    Nine patients [mean age 19.6 years (SD=9.9) ] fulfilled the criteria (six women and three men).

    The mean duration of asthma was 14.0 years (SD=9.7).

    The mean total cost of care decreased from $43,066 to $4,914 (t=-4.53, P<. 001) and inpatient hospitalization costs decreased from $40,253 to $1,926 (t=-4.50, P<. 001). (...)

    Mots-clés Pascal : Asthme, Complication, Insuffisance respiratoire, Hospitalisation, Intubation, Politique sanitaire, Réduction, Coût, Résultat, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Economie santé

    Mots-clés Pascal anglais : Asthma, Complication, Respiratory failure, Hospitalization, Intubation, Health policy, Reduction, Costs, Result, Human, Respiratory disease, Obstructive pulmonary disease, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0330670

    Code Inist : 002B30A04B. Création : 10/04/1997.