Derek Y. Hsu|Joaquin C. Brieva|Jonathan I. Silverberg
Costs of Care for Hospitalization for Pemphigus in the United States
Northwestern University|Northwestern University|Northwestern University
h3importanceh3 pemphigus autoimmune blistering disorder associated significant morbidity mortality however little known inpatient burden pemphigus h3objectiveh3 determine incidence risk factors hospitalization pemphigus cost care h3design setting participantsh3 20022012 nationwide inpatient sample provided healthcare cost utilization project agency healthcare research quality analyzed total 87 039 711 children adults mean sd age 577 098 years primary diagnosis pemphigus 706 032 years secondary diagnosis pemphigus 479 019 years without diagnosis pemphigus studied data analysis performed june 1 august 30 2015 h3main outcomes measuresh3 hospitalization rates length stay cost care h3resultsh3 1185 5221 patients admitted primary secondary diagnosis pemphigus respectively factoring weights generalize sample entire hospitalized us cohort admissions represented weighted frequencies 5647 24 880 respectively multivariable logistic regression models stepwise selection increasing age adjusted odds ratios 95 cis 1839 years 553 428714ipilt 001 4059 years 1098 8461424ipilt 001 6079 years 754 575989ipilt 001 80 years 757 5711004ipilt 001 female sex 110 101120ipi 047 nonwhite raceethnicity black 194 175214ipilt 001 hispanic 410 374448ipilt 001 asian 316 268373ipilt 001 native american 211 145308ipilt 001 lower household income quartile 2 119 107132ipilt 001 insured medicare 156 141174ipilt 001 medicaid 155 139173ipilt 001 number chronic conditions 25 236 210265ipilt 001 6 147 129169ipilt 001 hospital location metropolitan area metropolitan micropolitan 060 049072ipilt 001 summer season 112 102123ipi 02 associated hospitalization pemphigus total inflationadjusted cost care patients primary inpatient diagnosis pemphigus 74 466 305 mean sd annual cost 14 52093 91322 inflationadjusted cost care patients primary diagnosis pemphigus increased significantly 2002 2012 analysis varianceipi lt 001 particular length stay higher racialethnic minorities compared whites survey linear regression log 95 ci black 0076 00750076 hispanic 0021 00210022 asian 0037 00360039 native american 0010 000760013 lower quartile household income quartile 1 0024 00230024 quartile 2 00029 0002200035 without private insurance medicare 012 012012 medicaid 0082 00810083 charge 0051 00470055 h3conclusions relevanceh3 significant inpatient burden pemphigus united states moreover appear racialethnic health care disparities respect pemphigus poor nonwhite andor uninsured underinsured patients higher odds hospitalization