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  1. Hospital utilization patterns and costs for adult sickle cell patients in Illinois.

    Article - En anglais

    Objectives

    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.

    Methods

    A statewide, administrative dataset for the two-year period from January 1992 through December 1993 was analyzed retrospectively.

    Results

    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.

    Conclusions

    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

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

    Cote : 97-0171592

    Code Inist : 002B19A01. Création : 21/05/1997.