To determine population size, demographic characteristics, hospital utilization patterns, the specialties of physicians providing care, and costs for hospitalized adult sickle cell patients in Illinois.
A statewide, administrative dataset for the two-year period from January 1992 through December 1993 was analyzed retrospectively.
There were 8403 admissions among 1 189 individual sickle cell patients for the two-year period.
Eighty-five percent of patients resided in the Chicago metropolitan area.
The median age of the 1 189 patients was 29 ; two-thirds had Medicaid or Medicare coverage.
Emergency departments were the primary source of admissions (85.7%). The most common admitting diagnosis was painful crisis (97.4%), and average length of stay was four days.
The median number of admissions per patient was three ; most patients (85%) used only one or two hospitals.
A small group used more than four hospitals and accounted for 23% of statewide admissions.
Primary care physicians cared for most patients, and total hospitalization charges were more than $59 million.
In Illinois the adult sickle cell population is concentrated in major urban centers, primarily the Chicago metropolitan area.
These patients accounted for approximately 8400 admissions and more than $59 million in hospital charges during the two-year study period. (...)
Mots-clés Pascal : Anémie hématie falciforme, Hospitalisation, Analyse coût, Soin, Spécialité médicale, Epidémiologie, Adulte, Homme, Economie santé, Illinois, Etats Unis, Amérique du Nord, Amérique, Hémopathie, Anémie hémolytique, Hémoglobinopathie, Maladie héréditaire
Mots-clés Pascal anglais : Sickle cell anemia, Hospitalization, Cost analysis, Care, Medical specialty, Epidemiology, Adult, Human, Health economy, Illinois, United States, North America, America, Hemopathy, Hemolytic anemia, Hemoglobinopathy, Genetic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0171592
Code Inist : 002B19A01. Création : 21/05/1997.