Number and cost of hospitalizations with principal and secondary diagnoses of tuberculosis, United States

Details

• Alternative Title:
  Int J Tuberc Lung Dis
• Personal Author:
  Aslam, M. V. ; Owusu-Edusei, K. ; Marks, S. M. ; Asay, G. R. B. ; Miramontes, R. ; Kolasa, M. ; Winston, C. A. ; Dietz, P. M.
• Description:
  OBJECTIVE :
  
  To estimate the number and cost of hospitalizations with a diagnosis of active tuberculosis (TB) disease in the United States.
  
  METHODS:
  
  We analyzed the 2014 National In-Patient Sample using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9) codes to identify hospitalizations with a principal (TB-PD) or any secondary discharge (TB-SD) TB diagnosis. We used a generalized linear model with log link and gamma distribution to estimate the cost per TB-PD and TB-SD episode adjusted for patient demographics, insurer, clinical elements, and hospital characteristics.
  
  RESULTS:
  
  We estimated 4985 TB-PD and 6080 TB-SD hospitalizations nationwide. TB-PD adjusted averaged $16695 per episode (95%CI $16168–$17221). The average for miliary/disseminated TB ($22498, 95%CI $21067–$23929) or TB of the central nervous system ($28338, 95%CI $25836–$30840) was significantly greater than for pulmonary TB ($14819, 95%CI $14284–$15354). The most common principal diagnoses for TB-SD were septicemia (n=965 hospitalizations), human immunodeficiency virus infection (n = 610), pneumonia (n=565), and chronic obstructive pulmonary disease and bronchiectasis (COPD-B, n = 150). The adjusted average cost per TB-SD episode was $15909 (95%CI $15337–$16481), varying between $8687 (95%CI $8337–$9036) for COPD-B and $23335 (95%CI $21979–$24690) for septicemia. TB-PD cost the US health care system $123.4 million (95%CI $106.3–$140.5) and TB-SD cost $141.9 million ($128.4–$155.5), of which Medicaid/Medicare covered respectively 67.2% and 69.7%.
  
  CONCLUSIONS:
  
  TB hospitalizations result in substantial costs within the US health care system.
  
  
• Subjects:
  Active Tuberculosis Adolescent Adult Article Costs And Cost Analysis Expected Payer Female Health Care Cost Hospitalization Humans In-patient Care Insurance Linear Models Male Middle Aged Tuberculosis Tuberculosis, Pulmonary United States Young Adult

  More +
• Source:
  Int J Tuberc Lung Dis. 22(12):1495-1504
• Pubmed ID:
  30606323
• Pubmed Central ID:
  PMC8050949
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Volume:
  22
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:41b921dfa4d1928dc5183de1e94d589355922bfa540a9c163f84896333a0a2b5
• Download URL:
  https://stacks.cdc.gov/view/cdc/105283/cdc_105283_DS1.pdf
• File Type:
  [PDF - 759.32 KB ]