| Hospital resource consumption in patients with diabetes and multivessel coronary disease undergoing revascularization. | |
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MedLine Citation:
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PMID: 10977421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To identify factors responsible for the variation in real hospital costs and length of stay for patients with diabetes undergoing coronary angioplasty or coronary bypass surgery. STUDY DESIGN: Retrospective study of patients with diabetes and coronary artery disease treated at a single hospital. PATIENTS AND METHODS: The study population included 1809 patients with diabetes and multivessel (2-vessel or 3-vessel) coronary artery disease who underwent an initial coronary angioplasty or coronary bypass surgery between 1988 and 1996. After accounting for the extent and severity of the patient's coronary artery disease, a sequential model was used to assess if diabetic characteristics were independently associated with higher hospital resource utilization during revascularization. RESULTS: Multivariate regression results indicated that for patients with diabetes who underwent coronary angioplasty, a baseline creatinine level of > or = 2.0 mg/dL was associated with significantly higher hospital costs and longer length of stay. For patients with diabetes who underwent a coronary bypass surgery only, a baseline creatinine level of > or = 2.5 mg/dL was associated with higher hospital costs and longer hospital length of stay. CONCLUSIONS: After controlling for coronary risk factors, selected diabetes-specific characteristics are associated with higher hospital resource utilization. Risk adjustments in hospital reimbursement may be needed to assure that patients with diabetes who have cardiovascular disease have access to revascularization procedures. |
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Authors:
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S D Culler; W S Weintraub; L J Shaw; E R Becker |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of managed care Volume: 6 ISSN: 1088-0224 ISO Abbreviation: Am J Manag Care Publication Date: 2000 Feb |
Date Detail:
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Created Date: 2000-08-15 Completed Date: 2000-08-15 Revised Date: 2005-07-26 |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 217-29 Citation Subset: H |
Affiliation:
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Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. sculler@sph.emory.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / economics* Coronary Artery Bypass / economics* Coronary Disease / complications, economics*, surgery Diabetes Complications* Female Humans Male Middle Aged Prospective Studies Retrospective Studies Utilization Review* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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