Secondary healthcare resource utilization and related costs associated with influenza-related hospital admissions in adult patients, England 2016 - 2020.

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Caroline de Courville, Hélène Bricout, Fabián P Alvarez, Jasper Clouting, Sonya Patel, Hafsa Mohamed, Shreena Giblin, Briana Coles
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引用次数: 0

Abstract

Introduction: This study aims to investigate healthcare resource utilization and related costs for influenza virus infections in adults admitted into secondary care in England across four influenza seasons.

Methods: This study includes all influenza admissions from the Hospital Episode Statistics database (HES) across England, September 2016 to March 2020. Descriptive analyses and comparative modeling techniques were used to assess the impact of influenza on risk groups of interest.

Results: Influenza admissions were estimated to cost £401 M. Average admission costs were heavily impacted by age and comorbid status, with comorbid patients representing 91% of costs. Additionally, patients with comorbidities treated in secondary care cost twice as much as non-comorbid patients, after adjusting for age and gender. Comorbid patients also had increased length of stay (LOS) and admissions to ICU, with patients' LOS being a core contributing factor to higher costs.

Conclusion: The study documents the substantial burden of influenza in England, emphasizing the impact of age and comorbid status on healthcare resource utilization (HCRU) and related costs. The data presented offers critical information to healthcare systems evaluating new strategies to alleviate the winter pressures on the NHS; highlighting the need to implement vaccination campaigns with enhanced vaccinations and increased vaccine coverage.

2016-2020 年英格兰成人患者因流感入院的二次医疗资源利用率和相关成本。
简介本研究旨在调查四个流感季节中英格兰二级医疗机构收治的成人流感病毒感染患者的医疗资源利用率和相关成本:本研究包括2016年9月至2020年3月期间英格兰各地医院病例统计数据库(HES)中的所有流感入院病例。采用描述性分析和比较建模技术评估流感对相关风险群体的影响:流感入院治疗估计花费 4.01 亿英镑。平均入院费用受年龄和合并症影响较大,合并症患者占费用的91%。此外,在对年龄和性别进行调整后,在二级医疗机构接受治疗的合并症患者的费用是非合并症患者的两倍。合并症患者的住院时间(LOS)和入住重症监护室的次数也有所增加,患者的住院时间是导致费用增加的核心因素:这项研究记录了流感在英格兰造成的巨大负担,强调了年龄和合并症对医疗资源利用率(HCRU)和相关费用的影响。所提供的数据为医疗保健系统提供了重要信息,帮助其评估缓解国民保健服务体系冬季压力的新策略;强调了通过加强接种疫苗和提高疫苗覆盖率来开展疫苗接种活动的必要性。
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来源期刊
Expert Review of Pharmacoeconomics & Outcomes Research
Expert Review of Pharmacoeconomics & Outcomes Research HEALTH CARE SCIENCES & SERVICES-PHARMACOLOGY & PHARMACY
CiteScore
4.00
自引率
4.30%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Expert Review of Pharmacoeconomics & Outcomes Research (ISSN 1473-7167) provides expert reviews on cost-benefit and pharmacoeconomic issues relating to the clinical use of drugs and therapeutic approaches. Coverage includes pharmacoeconomics and quality-of-life research, therapeutic outcomes, evidence-based medicine and cost-benefit research. All articles are subject to rigorous peer-review. The journal adopts the unique Expert Review article format, offering a complete overview of current thinking in a key technology area, research or clinical practice, augmented by the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.
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