Late Breaking Abstract - Economics burden and healthcare utilization in chronic obstructive pulmonary disease patients with or without sepsis

Yu-Mu Chen, Hsuan-Feng Wu, Wen-Feng Fang, Hung-Chen Chen, Chiung-Yu Lin, Meng-Chih Lin
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Abstract

Background: Although sepsis has prognostic implications to patients with chronic obstructive pulmonary disease (COPD), its economics burden, healthcare utilization remains uncertain. We conducted a population-level study to answer these questions. Methods: We excerpted data relevant to sepsis (ICD-9 coding 995.91, 995.92) from 609,281 patients with COPD (ICD-9 coding 491, 492, 496) and registered by the Taiwan National Health Insurance Administration System between 2010 and 2015. Propensity-score matching was applied to balance the age and gender between patients with or without sepsis. Results: Among them, 13.4%(81,466/609,281) of the COPD patients had been suffered from sepsis. Patients who suffered from sepsis were more likely to have hypertension (64.8% vs. 60.2%, P Conclusions: COPD patients who encountered sepsis were associated with higher economics burden and healthcare utilization.
慢性阻塞性肺疾病伴或不伴败血症患者的经济负担和医疗保健利用
背景:尽管脓毒症对慢性阻塞性肺疾病(COPD)患者具有预后影响,但其经济负担、医疗保健利用仍不确定。我们进行了一项人口水平的研究来回答这些问题。方法:选取2010 - 2015年台湾医保管理系统登记的609281例COPD患者(ICD-9编码491、492、496)的脓毒症相关数据(ICD-9编码995.91、995.92)。应用倾向评分匹配来平衡脓毒症或非脓毒症患者的年龄和性别。结果:其中13.4%(81466 / 609281)的COPD患者发生过脓毒症。脓毒症患者更容易发生高血压(64.8% vs. 60.2%, P)结论:脓毒症COPD患者的经济负担和医疗保健利用率较高。
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