Community acquired pneumonia and direct hospital cost

Sevinc, Can; Tertemiz, Kemal Can; KILINC, OGUZ; Uçan, Eyüp Sabri; KÖMÜS, Nuray; doruk, sibel

Community acquired pneumonia and direct hospital cost

Sibel DORUK, (Gaziosmanpaşa Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Tokat, Türkiye)

Kemal Can TERTEMİZ, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

Nuray KÖMÜS, (Nizip Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Gaziantep, Türkiye)

Eyüp Sabri UÇAN, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

Oğuz KILINÇ, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

Can SEVİNÇ (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

Tüberküloz ve Toraks

4 0

Yıl: 2009 Cilt: 57 Sayı: 1 Sayfa Aralığı: 48 - 55 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Community acquired pneumonia and direct hospital cost

Öz:

Türkiye’de toplum kökenli pnömoni (TKP)’nin direkt ve indirekt maliyeti ile ilgili veriler yetersizdir. Bu çalışmada, TKP olgularının klinik, laboratuvar ve radyolojik özelliklerini, direkt hastane maliyetini ve buna etki eden faktörleri belirlemek amaçlanmıştır. Olguların gruplanması ve maliyetin incelenmesinde pnömoni ağırlık skoru (PSI) ve Türk Toraks Derneği TKP Rehberi kullanılmıştır. Yaş ortalaması 70.9 olan 114 olgunun verileri retrospektif olarak incelendi. Ortalama hastanede yatış süresi 11.0 ± 6.6 gündü. Türk Toraks Derneği TKP rehberine göre grup IIIb’de yer alan ve PSI skor ortalaması 102.7 olan 3 olgu ölümle sonuçlandı. Ortalama ilaç maliyeti 484.59 Euro, radyoloji maliyeti 65.38 Euro, laboratuvar maliyeti 329.38 Euro ve toplam maliyet 1630.77 Euro idi. Grup IIIb’de yer alan olgularda ilaç maliyeti ve toplam maliyet diğer gruplara göre yüksekti. Radyolojik, laboratuvar ve toplam maliyet açısından başlangıç tedavisi rehbere uygun olan ve olmayan olgular arasında farklılık saptanmadı (p> 0.05). Cinsiyet ve ileri yaşın (≥ 65 yaş) toplam maliyet üzerine etkisi saptanmadı (p> 0.05). Ek hastalık varlığının toplam maliyeti artırdığı belirlendi (p= 0.003). PSI skorlamasına göre toplam maliyet düşük risk grubunda 1274.60 Euro, yüksek risk grubunda 1929.49 Euro idi. TKP’ye bağlı hastane mortalitesi %2.6 idi.

Anahtar Kelime: Pnömoni Yatış süresi Toplum kökenli enfeksiyonlar Masraflar ve maliyet analizi

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Toplum kökenli pnömoni ve hastane maliyeti

Öz:

In Turkey, there is inadequate data about the direct or indirect cost of community acquired pneumonia (CAP). This study aims to identify the clinical, laboratory, and radiological properties, direct hospital costs of CAP, and the factors that affect these costs. Grouping of the subjects and cost analysis were evaluated in accordance with Pneumonia Severity Index (PSI) and ‘Turkish Thoracic Society (TTS) CAP Guideline’. 114 cases with an average age of 70.9 were analyzed retrospectively. Average hospital stay was 11.0 ± 6.6 days. Three of the cases that appeared to be in group IIIb in accordance with TTS CAP Guideline, and that had a PSI score of 102.7 died. Average costs of medicine was 484.59 Euro, radiology costs were 65.38 Euro, laboratory costs were 329.38 Euro and the total cost was 1630.77 Euro. In group IIIb cases, costs of medicine and the total costs were higher than other groups. Radiological, laboratory and the total costs were not determined to be different among cases that did or did not conform to initial treatment guidelines (p> 0.05). There were no effect of gender and advanced age (≥ 65 years) on total cost (p> 0.05). Existence of a comorbid disease was detected to have increased the total cost (p= 0.003). Total costs according to PSI scoring were 1274.60 Euro in low-risk group, and 1929.49 Euro in high-risk group (p= 0.04). Hospital mortality due to CAP was 2.6%.

Anahtar Kelime: Costs and Cost Analysis Pneumonia Length of Stay Community-Acquired Infections

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	doruk s, Tertemiz K, KÖMÜS N, Uçan E, KILINC O, Sevinc C (2009). Community acquired pneumonia and direct hospital cost. , 48 - 55.
Chicago	doruk sibel,Tertemiz Kemal Can,KÖMÜS Nuray,Uçan Eyüp Sabri,KILINC OGUZ,Sevinc Can Community acquired pneumonia and direct hospital cost. (2009): 48 - 55.
MLA	doruk sibel,Tertemiz Kemal Can,KÖMÜS Nuray,Uçan Eyüp Sabri,KILINC OGUZ,Sevinc Can Community acquired pneumonia and direct hospital cost. , 2009, ss.48 - 55.
AMA	doruk s,Tertemiz K,KÖMÜS N,Uçan E,KILINC O,Sevinc C Community acquired pneumonia and direct hospital cost. . 2009; 48 - 55.
Vancouver	doruk s,Tertemiz K,KÖMÜS N,Uçan E,KILINC O,Sevinc C Community acquired pneumonia and direct hospital cost. . 2009; 48 - 55.
IEEE	doruk s,Tertemiz K,KÖMÜS N,Uçan E,KILINC O,Sevinc C "Community acquired pneumonia and direct hospital cost." , ss.48 - 55, 2009.
ISNAD	doruk, sibel vd. "Community acquired pneumonia and direct hospital cost". (2009), 48-55.

APA	doruk s, Tertemiz K, KÖMÜS N, Uçan E, KILINC O, Sevinc C (2009). Community acquired pneumonia and direct hospital cost. Tüberküloz ve Toraks, 57(1), 48 - 55.
Chicago	doruk sibel,Tertemiz Kemal Can,KÖMÜS Nuray,Uçan Eyüp Sabri,KILINC OGUZ,Sevinc Can Community acquired pneumonia and direct hospital cost. Tüberküloz ve Toraks 57, no.1 (2009): 48 - 55.
MLA	doruk sibel,Tertemiz Kemal Can,KÖMÜS Nuray,Uçan Eyüp Sabri,KILINC OGUZ,Sevinc Can Community acquired pneumonia and direct hospital cost. Tüberküloz ve Toraks, vol.57, no.1, 2009, ss.48 - 55.
AMA	doruk s,Tertemiz K,KÖMÜS N,Uçan E,KILINC O,Sevinc C Community acquired pneumonia and direct hospital cost. Tüberküloz ve Toraks. 2009; 57(1): 48 - 55.
Vancouver	doruk s,Tertemiz K,KÖMÜS N,Uçan E,KILINC O,Sevinc C Community acquired pneumonia and direct hospital cost. Tüberküloz ve Toraks. 2009; 57(1): 48 - 55.
IEEE	doruk s,Tertemiz K,KÖMÜS N,Uçan E,KILINC O,Sevinc C "Community acquired pneumonia and direct hospital cost." Tüberküloz ve Toraks, 57, ss.48 - 55, 2009.
ISNAD	doruk, sibel vd. "Community acquired pneumonia and direct hospital cost". Tüberküloz ve Toraks 57/1 (2009), 48-55.