Document Detail

Factors influencing the costs of emergency medical admissions to an Irish teaching hospital.
MedLine Citation:
PMID:  16518616     Owner:  NLM     Status:  MEDLINE    
This study examined whether there is a relationship between coded diseases at the time of hospital discharge and costs of hospital re-admission. We carried out a systematic review of data relating to emergency medical patients admitted to St. James' Hospital in Dublin between 1 January 2002 and 31 October 2004. Data on discharges from hospital were analyzed as recorded in the hospital in-patient enquiry (HIPE) system. Of 15,876 episodes recorded among 11,201 patients admitted the number of re-admissions numbered up to 43. Age, year of admission, and frequency of admission were factors associated with increased hospital costs. HIPE coding at first discharge predicted increased costs: codes related to heart failure, pneumonia, stroke, diabetes, malignancy, psychiatric, and anaemia-related codes. Clinical coding using the HIPE database thus strongly predicted hospital costs.
Edward D Moloney; Kathleen Bennett; Bernard Silke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European journal of health economics : HEPAC : health economics in prevention and care     Volume:  7     ISSN:  1618-7598     ISO Abbreviation:  Eur J Health Econ     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-10-12     Completed Date:  2006-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101134867     Medline TA:  Eur J Health Econ     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  123-8     Citation Subset:  IM    
Trinity Centre at St. James' Hospital, Dublin, Ireland.
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MeSH Terms
Age Factors
Child, Preschool
Chronic Disease / economics,  therapy
Emergency Service, Hospital / economics*
Hospital Costs*
Hospitals, University / economics*
Infant, Newborn
Length of Stay
Middle Aged

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