Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: A retrospective analysis from regional Queensland

Rezwanul, Rana and Gow, Jeff and Moloney, Clint ORCID: https://orcid.org/0000-0003-2520-1506 and King, Alex and Keijzers, Gerben and Beccaria, Gavin ORCID: https://orcid.org/0000-0002-4341-804X and Mullens, Amy (2020) 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. pp. 1-8. ISSN 1742-6731


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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 -)
Faculty/School / Institute/Centre: Historic - Faculty of Business, Education, Law and Arts - School of Commerce (1 Jul 2013 - 17 Jan 2021)
Date Deposited: 01 Dec 2020 03:11
Last Modified: 27 Apr 2021 00:38
Uncontrolled Keywords: chronic obstructive pulmonary disease; cost; emergency department; Queensland; regional
Fields of Research (2008): 11 Medical and Health Sciences > 1110 Nursing > 111002 Clinical Nursing: Primary (Preventative)
Fields of Research (2020): 42 HEALTH SCIENCES > 4205 Nursing > 420501 Acute care
Socio-Economic Objectives (2008): C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920115 Respiratory System and Diseases (incl. Asthma)
Socio-Economic Objectives (2020): 20 HEALTH > 2001 Clinical health > 200104 Prevention of human diseases and conditions
Funding Details:
Identification Number or DOI: https://doi.org/10.1111/1742-6723.13665
URI: http://eprints.usq.edu.au/id/eprint/40187

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