Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland
Article
Rana, Rezwanul, Gow, Jeff, Moloney, Clint, King, Alex, Keijzers, Gerben, Beccaria, Gavin and Mullens, Amy. 2021. "Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland." Emergency Medicine Australasia. 33 (3), pp. 491-498. https://doi.org/10.1111/1742-6723.13665
| Article Title | Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland |
|---|---|
| ERA Journal ID | 16047 |
| Article Category | Article |
| Authors | Rana, Rezwanul (Author), Gow, Jeff (Author), Moloney, Clint (Author), King, Alex (Author), Keijzers, Gerben (Author), Beccaria, Gavin (Author) and Mullens, Amy (Author) |
| Journal Title | Emergency Medicine Australasia |
| Journal Citation | 33 (3), pp. 491-498 |
| Number of Pages | 8 |
| Year | 2021 |
| Publisher | John Wiley & Sons |
| Place of Publication | Australia |
| ISSN | 1742-6723 |
| 1742-6731 | |
| Digital Object Identifier (DOI) | https://doi.org/10.1111/1742-6723.13665 |
| Web Address (URL) | https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.13665 |
| Abstract | Objective: Chronic obstructive pulmonary disease (COPD) patients commonly have frequent visits to the ED. Consequently, COPD has a significant effect on total healthcare expenditure. The objective was to measure the frequency of ED presentation and hospitalisation among COPD patients and to estimate the costs resulting from such care utilisation. Methods: This was a causal‐comparative non‐experimental research design conducted in three regional hospitals between 2016 and 2018. Two different original data sets were used: an automated hospital data set and an audit of patient charts. Secondary cost data were also used. Data were analysed using Pearson's χ2 test to estimate the relationship between several patient and treatment‐related characteristics. Results: There were 5253 patient presentations at ED and hospital length of stay data were available for 5079 COPD patients. The total cost of hospital stays was $42.14 million for the time period and the mean average cost was $8297 for ED patients who were admitted to hospital. Factors significantly associated with hospital length of stay were age and time spent in the ED. Noticeably, one (51.7%) in two COPD patients were discharged from ED (all destinations) within 4 h irrespective of their triage category. Conclusions: COPD patient presentation to ED and admission to hospital is an expensive method of providing healthcare to manage this chronic condition. Clinical practitioners and policy makers need to develop and implement optimal integrated care management systems to reduce this hospitalisation rate and reduce the societal costs associated with COPD patient management. |
| Keywords | chronic obstructive pulmonary disease; cost; emergency department; Queensland; regional |
| ANZSRC Field of Research 2020 | 420501. Acute care |
| Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
| Byline Affiliations | School of Commerce |
| School of Nursing and Midwifery | |
| Department of Health, Queensland | |
| Bond University | |
| School of Psychology and Counselling | |
| Institution of Origin | University of Southern Queensland |
| Funding source | Grant ID EMSS‐364R28‐2017 |
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