Causes and costs of hospitalization of tuberculosis patients in the United States

Z. Taylor, S. M. Marks, N. M. Rios Burrows, S. E. Weis, R. L. Stricof, B. Miller

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

OBJECTIVE: To examine the costs, lengths of stay and patient characteristics associated with tuberculosis (TB) hospitalizations. METHODS: A prospective cohort study of 1493 TB patients followed from diagnosis to completion of therapy at 10 public health programs and area hospitals in the US. The main outcome measures were the following: 1) occurrence, 2) cost, and 3) length of stay of TB-related hospitalizations. RESULTS: There were 821 TB-related hospitalizations among the study participants; 678 (83%) were initial hospitalizations and 143 (17%) were hospitalizations during the treatment of TB. Patients infected with human immunodeficiency virus (HIV) (OR 1.8, 95%CI 1.2-2.6), and homeless patients (OR, 1.7 95%CI 1.1-2.8) were at increased risk of being hospitalized at diagnosis. Homeless patients (RR 2.5, 95%CI 1.5-4.3), patients who used alcohol excessively (RR 1.9, 95%CI 1.2-3.0), and patients with multidrug-resistant TB (RR 5.7, 95%CI 2.7-11.8) were at increased risk of hospitalization during treatment. The median length of stay varied from 9 to 17 days, and median costs per hospitalization varied from $6441 to $12 968 among the sites. CONCLUSION: Important social factors, HIV infection, and local hospitalization practice patterns contribute significantly to the high cost of TB-related hospitalizations. Efforts to address these specific factors are needed to reduce the cost of preventable hospitalizations.

Original languageEnglish
Pages (from-to)931-939
Number of pages9
JournalInternational Journal of Tuberculosis and Lung Disease
Volume4
Issue number10
StatePublished - 1 Jan 2000

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Tuberculosis
Hospitalization
Costs and Cost Analysis
Length of Stay
HIV
Multidrug-Resistant Tuberculosis
Virus Diseases
Cohort Studies
Therapeutics
Public Health
Alcohols
Outcome Assessment (Health Care)
Prospective Studies

Keywords

  • Costs
  • Hospitalization
  • Tuberculosis

Cite this

Taylor, Z., Marks, S. M., Rios Burrows, N. M., Weis, S. E., Stricof, R. L., & Miller, B. (2000). Causes and costs of hospitalization of tuberculosis patients in the United States. International Journal of Tuberculosis and Lung Disease, 4(10), 931-939.
Taylor, Z. ; Marks, S. M. ; Rios Burrows, N. M. ; Weis, S. E. ; Stricof, R. L. ; Miller, B. / Causes and costs of hospitalization of tuberculosis patients in the United States. In: International Journal of Tuberculosis and Lung Disease. 2000 ; Vol. 4, No. 10. pp. 931-939.
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Taylor, Z, Marks, SM, Rios Burrows, NM, Weis, SE, Stricof, RL & Miller, B 2000, 'Causes and costs of hospitalization of tuberculosis patients in the United States', International Journal of Tuberculosis and Lung Disease, vol. 4, no. 10, pp. 931-939.

Causes and costs of hospitalization of tuberculosis patients in the United States. / Taylor, Z.; Marks, S. M.; Rios Burrows, N. M.; Weis, S. E.; Stricof, R. L.; Miller, B.

In: International Journal of Tuberculosis and Lung Disease, Vol. 4, No. 10, 01.01.2000, p. 931-939.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Causes and costs of hospitalization of tuberculosis patients in the United States

AU - Taylor, Z.

AU - Marks, S. M.

AU - Rios Burrows, N. M.

AU - Weis, S. E.

AU - Stricof, R. L.

AU - Miller, B.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - OBJECTIVE: To examine the costs, lengths of stay and patient characteristics associated with tuberculosis (TB) hospitalizations. METHODS: A prospective cohort study of 1493 TB patients followed from diagnosis to completion of therapy at 10 public health programs and area hospitals in the US. The main outcome measures were the following: 1) occurrence, 2) cost, and 3) length of stay of TB-related hospitalizations. RESULTS: There were 821 TB-related hospitalizations among the study participants; 678 (83%) were initial hospitalizations and 143 (17%) were hospitalizations during the treatment of TB. Patients infected with human immunodeficiency virus (HIV) (OR 1.8, 95%CI 1.2-2.6), and homeless patients (OR, 1.7 95%CI 1.1-2.8) were at increased risk of being hospitalized at diagnosis. Homeless patients (RR 2.5, 95%CI 1.5-4.3), patients who used alcohol excessively (RR 1.9, 95%CI 1.2-3.0), and patients with multidrug-resistant TB (RR 5.7, 95%CI 2.7-11.8) were at increased risk of hospitalization during treatment. The median length of stay varied from 9 to 17 days, and median costs per hospitalization varied from $6441 to $12 968 among the sites. CONCLUSION: Important social factors, HIV infection, and local hospitalization practice patterns contribute significantly to the high cost of TB-related hospitalizations. Efforts to address these specific factors are needed to reduce the cost of preventable hospitalizations.

AB - OBJECTIVE: To examine the costs, lengths of stay and patient characteristics associated with tuberculosis (TB) hospitalizations. METHODS: A prospective cohort study of 1493 TB patients followed from diagnosis to completion of therapy at 10 public health programs and area hospitals in the US. The main outcome measures were the following: 1) occurrence, 2) cost, and 3) length of stay of TB-related hospitalizations. RESULTS: There were 821 TB-related hospitalizations among the study participants; 678 (83%) were initial hospitalizations and 143 (17%) were hospitalizations during the treatment of TB. Patients infected with human immunodeficiency virus (HIV) (OR 1.8, 95%CI 1.2-2.6), and homeless patients (OR, 1.7 95%CI 1.1-2.8) were at increased risk of being hospitalized at diagnosis. Homeless patients (RR 2.5, 95%CI 1.5-4.3), patients who used alcohol excessively (RR 1.9, 95%CI 1.2-3.0), and patients with multidrug-resistant TB (RR 5.7, 95%CI 2.7-11.8) were at increased risk of hospitalization during treatment. The median length of stay varied from 9 to 17 days, and median costs per hospitalization varied from $6441 to $12 968 among the sites. CONCLUSION: Important social factors, HIV infection, and local hospitalization practice patterns contribute significantly to the high cost of TB-related hospitalizations. Efforts to address these specific factors are needed to reduce the cost of preventable hospitalizations.

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SN - 1027-3719

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