Admission rate and characteristics of hospitalized systemic connective tissue disorders: analysis from a nationwide Thailand healthcare database

Foocharoen, Chingching; Thavornpitak, Yupa; Mahakkanukrauh, Ajanee; Suwannaroj, Siraphop; Nanagara, Ratanavadee

doi:10.1111/1756-185x.12031

Cited by 11 publications

(10 citation statements)

References 9 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To the best of our knowledge, this study is one of the largest studies describing health care utilization and cost for SJS/TEN management. Previous studies[ 8 11 12 ] have been conducted in less than 50 patients while this study was undertaken in more than 150 patients. The results in this study showed crucial information to health policymakers so as to allocate health care resources to manage SJS/TEN at the population level efficiently.…”

Section: Discussionmentioning

confidence: 99%

“…There was another Thai study reporting the average LOS of patients with SJS to be 5.3 days. [ 11 ] Even though the study used a national database from the National Health Security Office, only 15 patients with SJS were determined. Thus, the average LOS from the study might be inaccurate and imprecise.…”

Section: Discussionmentioning

confidence: 99%

“…There was another study formally reporting direct medical cost of patients with SJS. [ 11 ] The direct medical cost ranged $242.8-674.7 based on health insurance. The previous direct medical cost was lower than the one found in this study, which indicated that the average direct medical cost was $1,064.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

Dilokthornsakul

Sawangjit

Inprasong

et al. 2016

Journal of Postgraduate Medicine

View full text Add to dashboard Cite

Background:Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are life-threatening dermatologic conditions. Although, the incidence of SJS/TEN in Thailand is high, information on cost of care for SJS/TEN is limited. This study aims to estimate healthcare resource utilization and cost of SJS/TEN in Thailand, using hospital perspective.Methods:A retrospective study using an electronic health database from a university-affiliated hospital in Thailand was undertaken. Patients admitted with SJS/TEN from 2002 to 2007 were included. Direct medical cost was estimated by the cost-to-charge ratio. Cost was converted to 2013 value by consumer price index, and converted to $US using 31 Baht/1 $US. The healthcare resource utilization was also estimated.Results:A total of 157 patients were included with average age of 45.3±23.0 years. About 146 patients (93.0%) were diagnosed as SJS and the remaining (7.0%) were diagnosed as TEN. Most of the patients (83.4%) were treated with systemic corticosteroids. Overall, mortality rate was 8.3%, while the average length of stay (LOS) was 10.1±13.2 days. The average cost of managing SJS/TEN for all patients was $1,064±$2,558. The average cost for SJS patients was $1,019±$2,601 while that for TEN patients was $1,660±$1,887.Conclusions:Healthcare resource utilization and cost of care for SJS/TEN in Thailand were tremendous. The findings are important for policy makers to allocate healthcare resources and develop strategies to prevent SJS/TEN which could decrease length of stay and cost of care.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

Dilokthornsakul

Sawangjit

Inprasong

et al. 2016

Journal of Postgraduate Medicine

View full text Add to dashboard Cite

show abstract

“…The difference between sexes has been proven by previous studies on most rheumatic diseases. In most rheumatic diseases like PMR, GCA, scleroderma, SLE, etc., female gender was a predisposing factor; one exception is gout, which was more prevalent in men [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Causes and types of disease in elderly patients leading to one or multiple hospital admissions in rheumatology wards of southwestern Iran: A 6-year review

Shenavandeh

Sadeghi

2019

Rheum Res

View full text Add to dashboard Cite

Original ArticleThe physiological changes associated with aging and the presence of comorbid diseases may complicate the treatment of elderly patients with rheumatic diseases. This study aimed to determine the prevalence and main causes of admissions of elderly patients to rheumatology wards and the number and duration of their hospitalizations. Data was collected on patients aged ≥ 60 who were admitted to rheumatology wards from 2008 to 2013. To make a good comparison, the last diagnoses of younger patients admitted to these wards were also recorded.In the elderly group, the records of 399 patients admitted to hospitals with a flare-up of a new or known case of rheumatoid arthritis (RA) were compared with those of 480 young patients. No significant difference was seen between these two groups in the duration of hospital stay. In the elderly group, hypertension (62.4%) was the most common comorbidity. The presence of psychiatric problems showed a significant association with the number of admissions (P value=0.037) as well as patients receiving infliximab, rituximab, and IV IG (P value=<0.001). Recurrent admissions were seen mostly in patients with psoriatic arthritis (PsA), polymyositis, and Behçet's disease. Flare-ups or new diagnoses of RA were the most prevalent causes for the admission of elderly patients to rheumatology wards. Recurrent admissions were seen mostly in patients with PsA and were associated with the presence of psychiatric problems and a need for IV medications. The results highlight the need for healthcare centers to support outpatient clinics for elderly patients.

show abstract

“…For instance, the prevalence of polymyositis and dermatomyositis was determined on the basis of population-based administrative data obtained from the Quebec (Canada) physician billing and hospitalization databases [14]. Data obtained from the 2010 national database of the hospitalized patients of the Thai Health Coding Centre were used to establish the admission rate, disease determination, hospital mortality rate, length of hospital stay and hospital charges among patients diagnosed with systemic connective tissue disorders [15]. In another study, data on patients hospitalized with rheumatic diseases in California was abstracted from the state hospitalization database [16].…”

Section: Introductionmentioning

confidence: 99%

Use of statistical data concerning hospital morbidity in epidemiological studies on rare rheumatic diseases

Kanecki¹,

Nitsch–Osuch²,

Goryński³

et al. 2018

Med Og Nauk Zdr.

View full text Add to dashboard Cite

Introduction. Data validity constitutes a fundamental problem in epidemiology. An accurate estimate of the occurrence of a rare disease may require a large population study. In the case of rare diseases, all available data resources are used to estimate the occurrence rate, including statistical data concerning hospital morbidity. For life-threatening systemic vasculitides an analysis of its epidemiology is of particular importance. Objective. The main aim of the study was to present the possibilities for the use of data from hospital databases in an analysis of the epidemiology of rare diseases, using the example of particular systemic vasculitides. Results. The study shows the results of analyses performed on a population-based administrative data set concerning systemic vasculitides taken from the national hospital morbidity database prepared by the Polish National Institute of Public Health in 2004-2013. The study also discusses the main advantages and limitations of the adapted methodology. Furthermore, it proves that data from hospital databases can be used for analyzing disease incidence and prevalence, gender and territorial distribution, analysis of hospital mortality (fatality) rates, and trends in long-term observations. Conclusion. An analysis of the epidemiology of rare rheumatic diseases can contribute to a better understanding of their specificity, which can be useful in everyday clinical practice.

show abstract

Admission rate and characteristics of hospitalized systemic connective tissue disorders: analysis from a nationwide Thailand healthcare database

Cited by 11 publications

References 9 publications

Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

Causes and types of disease in elderly patients leading to one or multiple hospital admissions in rheumatology wards of southwestern Iran: A 6-year review

Use of statistical data concerning hospital morbidity in epidemiological studies on rare rheumatic diseases

Contact Info

Product

Resources

About