[The effect of human immunodeficiency virus infection on the consumption of hospital resources. A correlation with the degree of immunodeficiency]

Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

[The effect of human immunodeficiency virus infection on the consumption of hospital resources. A correlation with the degree of immunodeficiency]

An Med Interna. 1999 Jan;16(1):8-14. Unique Identifier : AIDSLINE MED/99189514
Rovira Daudi E; Gonzalez Monte C; Belda Mira A; Pascual Izuel JM; Gonzalvo Bellver F; Hospital de Sagunto, Servicio Valenciano de Salud, Valencia.

Abstract: BACKGROUND: To calculate the real cost of the Human Immunodeficiency Virus (HIV) infection in the use of hospital resources. PATIENTS AND METHODS: All the episodes of hospitalization of the years 1993, 1994 and 1995 of a general hospital have been analyzed. The patients have been classified according to the Patients Management Categories version 5.0 system. The patients with HIV infection were also classified according to the CD4+T-lymphocyte counts and the existence of AIDS. The derived cost of the stay and the consumption of diagnostic and complementary tests were calculated according to PMC Relative Intensity Score. RESULTS: In 293 hospitalizations the hospital cost of the HIV patients ascended to 145,372,650 ptas, what represents 40,230,000 ptas 100,000 person-years. HIV patients presented mean of stay (12 vs 5 days, p < 0.001) and hospital cost (433,029 vs 218,646 ptas, p < 0.001), significantly higher than non-HIV patients. 79% of hospitalizations corresponded to patient with AIDS. As much the stay as the hospital cost vary significantly in function of the degree of immunologic deterioration (lymphocyte count and AIDS diagnostic). During the years of study a stabilization was observed in the cost and the hospital stay of these patients. CONCLUSIONS: HIV infection originates a high consumption of hospital resources, mainly in patient with advanced immunodeficiency. The hospital stay is very high to the general population. In the last years it seems to exist a tendency toward the stabilization in the use of hospital resources, possibly to expense of the non hospital cost.

Keywords: JOURNAL ARTICLE en el consumo de recursos hospitalarios. Correlacion con grado de inmunodeficiencia. Adolescence Adult Chi-Square Distribution English Abstract Female Health Resources/ECONOMICS/STATISTICS & NUMER DATA/TRENDS/ *UTILIZATION Hospital Costs/STATISTICS & NUMER DATA/TRENDS *Hospitalization/ECONOMICS/STATISTICS & NUMER DATA/TRENDS Human HIV Infections/ECONOMICS/*THERAPY *HIV-1 Length of Stay/ECONOMICS/STATISTICS & NUMER DATA/TRENDS Male Patient Discharge/ECONOMICS/STATISTICS & NUMER DATA/TRENDS Patients/CLASSIFICATION Spain Statistics, Nonparametric
990730
A9971215

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