Allergy and Airway |

Hospital Admissions for Asthma Exacerbations: Have There Been Any Changes in the Last Years? FREE TO VIEW

Irene Jarana Aparicio, MD; Javier De Miguel Díez, MD; Rodrigo Jimenez García, MD; Julio César Vargas Espinal, MD; Milagros Llanos Flores, MD; Alicia Oliva Ramos, MD; Valentín Hernández Barrera, MD; Pilar Carrasco Garrido, MD
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Hospital General Universitario Gregorio Marañón, Madrid, Spain

Chest. 2014;145(3_MeetingAbstracts):21A. doi:10.1378/chest.1834201
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SESSION TYPE: Slide Presentations

PRESENTED ON: Saturday, March 22, 2014 at 12:15 PM - 01:15 PM

PURPOSE: To assess the changes in incidence, length of stay (LOS) and costs of patients hospitalized for asthma exacerbations (AE), between 2002 and 2010.

METHODS: We included patients hospitalized for AE between 2002 and 2010 (ICD9-CM codes 493.0x-493.9x). We analyze, on the one hand, pediatric patients (0-15 years old) and, on the other hand, young adults (16-45 years old).The data were collected from the National Hospital Discharge Database (entire population). We analyzed the incidence, LOS and costs per patient in the two groups from 2002 to 2010.

RESULTS: We included a total of 12,038 pediatric patients and 2,792 young adults with AE. Overall crude incidence decreased from 20.5 to 18.7 AE per 100.000 inhabitants in the pediatric group (p<0.05), and also decreased from 4.12 to 3.68 AE per 100.000 inhabitants in the adult group, from 2002 to 2010 (p<0.05). The mean LOS decreased progressively in both groups during the study period, from 3.71 (SD 2.28) to 3.16 (SD 2.11) days in the pediatric group and from 5.36 (SD 4.02) to 5.16 (SD 5.39) days in the adult group, from 2002 to 2010 (p<0.05). During the study period, the mean cost per patient decreased from 1558.53 (SD 443.63) to 1378.41 (SD 472.71) euros in the pediatric group (p<0.05), while it increased from 2183.44 (SD 783.15) to 2564.32 (SD 1933.98) euros in the adult group (p<0.05).

CONCLUSIONS: Our results suggest a decrease in the incidence of hospital admissions for AE with concomitant decrease in LOS in asthmatic patients, both in pediatric age as young adults. Although the mean cost has decreased in pediatric patients group, in young adults group has increased.

CLINICAL IMPLICATIONS: Better management of disease may explain the improvement in the incidence and outcomes.

DISCLOSURE: The following authors have nothing to disclose: Irene Jarana Aparicio, Javier De Miguel Díez, Rodrigo Jimenez García, Julio César Vargas Espinal, Milagros Llanos Flores, Alicia Oliva Ramos, Valentín Hernández Barrera, Pilar Carrasco Garrido

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