Factors influencing the costs of emergency medical admissions to an Irish teaching hospital

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
E D MoloneyB Silke

Abstract

This study examined whether there is a relationship between coded diseases at the time of hospital discharge and costs of hospital re-admission. We carried out a systematic review of data relating to emergency medical patients admitted to St. James' Hospital in Dublin between 1 January 2002 and 31 October 2004. Data on discharges from hospital were analyzed as recorded in the hospital in-patient enquiry (HIPE) system. Of 15,876 episodes recorded among 11,201 patients admitted the number of re-admissions numbered up to 43. Age, year of admission, and frequency of admission were factors associated with increased hospital costs. HIPE coding at first discharge predicted increased costs: codes related to heart failure, pneumonia, stroke, diabetes, malignancy, psychiatric, and anaemia-related codes. Clinical coding using the HIPE database thus strongly predicted hospital costs.

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Citations

Sep 17, 2010·Age and Ageing·Declan G ByrneBernard Silke
Oct 6, 2007·Postgraduate Medical Journal·Edward D MoloneyBernard Silke
Oct 23, 2009·QJM : Monthly Journal of the Association of Physicians·B SilkeD O'Riordan
Jun 28, 2014·European Journal of Internal Medicine·Conor LahiffBernard Silke
Aug 7, 2013·Archives of Psychiatric Nursing·Amanda Digel VandykAmanda Ross-White
Dec 26, 2008·Stroke; a Journal of Cerebral Circulation·Ramon Luengo-FernandezPeter M Rothwell
Jul 10, 2014·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Seán CournaneBernard Silke
Dec 13, 2017·Qualitative Health Research·Amanda Digel VandykKatharine Gillis
Sep 1, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Bin S OngVincent J J Ngian
May 5, 2021·International Journal of Psychiatry in Clinical Practice·Melissa CaseyGeorge Habib

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