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Abstract: Slide Presentations |

National Estimates of Hospitalizations for Major Respiratory Conditions FREE TO VIEW

Jeno P. Marton, MD*; Sandra Enuha, MPH; Luke Boulanger, MA; Mark Friedman, MD; Jianwei Xuan, PhD; Joseph Menzin, PhD
Author and Funding Information

Pfizer Global Pharmaceuticals, US Outcomes Research Group, New York, NY


Chest


Chest. 2004;126(4_MeetingAbstracts):728S. doi:10.1378/chest.126.4_MeetingAbstracts.728S-b
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Abstract

PURPOSE:  To assess the burden of hospitalization for chronic obstructive pulmonary disease (COPD) or asthma.

METHODS:  This study used a 2001 nationally-representative U.S. hospital discharge survey of over 7 million observations to evaluate rates of hospitalization, use of mechanical ventilation, and mortality for admissions with a listed primary diagnosis of COPD or asthma.

RESULTS:  We projected 570,000 and 386,000 discharges associated with COPD and asthma, respectively, accounting for over 4 million hospital days (3.0 million and 1.3 million) and $7.3 billion in costs ($4.4 billion and $2.9 billion). Hospital stays for these two conditions comprised about 3.0% of all hospitalizations observed in 2001. The public sector paid for 80% of COPD hospitalizations and about 50% of asthma hospitalizations. Rates of COPD hospitalization were highest among those who were white and those 65+ years of age, whereas the highest rates of asthma hospitalization were found among children and African-Americans. Mechanical ventilation was used in 4.4% of COPD hospitalizations and 2.0% of asthma hospitalizations. The two respiratory conditions accounted for an estimated 18,000 in-hospital deaths in 2001, with case-fatality rates of 2.9% and 0.3% for COPD and asthma, respectively.

CONCLUSION:  Both COPD and asthma contribute to the burden to hospitals and the healthcare system as a whole.

CLINICAL IMPLICATIONS:  Compared with asthma, the burden of hospitalization for COPD is larger and falls primarily on the public sector.

DISCLOSURE:  J.P. Marton, None.

Monday, October 25, 2004

2:30 PM- 4:00 PM


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