Skip header and navigation

2 records – page 1 of 1.

Resource utilization for acute lower gastrointestinal hemorrhage: the Ontario GI bleed study.

https://arctichealth.org/en/permalink/ahliterature187883
Source
Can J Gastroenterol. 2002 Oct;16(10):677-82
Publication Type
Article
Date
Oct-2002
Author
Dan Comay
John K Marshall
Author Affiliation
Department of Medicine, McMaster University, Hamilton, Canada.
Source
Can J Gastroenterol. 2002 Oct;16(10):677-82
Date
Oct-2002
Language
English
Publication Type
Article
Keywords
Acute Disease
Aged
Cohort Studies
Cost-Benefit Analysis
Female
Gastrointestinal Hemorrhage - diagnosis - economics - therapy
Health Care Costs - standards - trends
Health Resources - utilization
Hospital Costs - standards - trends
Hospitalization - economics - statistics & numerical data
Hospitals, Community
Humans
Length of Stay - economics
Linear Models
Male
Middle Aged
Multivariate Analysis
Ontario
Probability
Sensitivity and specificity
Abstract
Acute lower gastrointestinal hemorrhage (LGIH) is a common indication for hospitalization. However, there are few published studies of related health care resource utilization. Resource utilization, length of stay (LOS) and direct medical costs were characterized in a cohort of patients admitted for nonmalignant LGIH to centres in Ontario.
Consecutive admissions for LGIH were identified at four Ontario hospitals. Profiles of resource utilization, LOS and estimates of direct medical costs were compiled through detailed chart review and adaptation of an administrative database. All centres were participants in the Ontario Case Cost Project. Linear regression models of log-transformed data were constructed to identify demographic variables predictive of LOS and case cost.
Among 124 patients enrolled (mean age 58.8 years) the average case cost was dollars 4832 (SD dollars 7187) for 7.5 days in hospital (SD 12.0). Diverticular disease was the bleeding source most often identified (34.6%), followed by hemorrhoids (13.7%) and ischemic colitis (9.7%). Older age and comorbid illness, specifically coronary artery disease (CAD), were associated with both increased LOS and higher case cost in univariate regression analyses. Age persisted as the lone independent predictor of LOS in the multivariate model (P
PubMed ID
12420025 View in PubMed
Less detail