Hospital Utilization, Costs, and Mortality for Adults With Multiple Chronic Conditions, Nationwide Inpatient Sample, 2009

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Steiner, Claudia A. ; Friedman, Bernard
• Description:
  Objective ; Our objective was to provide a national estimate across all payers of the distribution and cost of selected chronic conditions for hospitalized adults in 2009, stratified by demographic characteristics. ; Analysis ; We analyzed the Nationwide Inpatient Sample (NIS), the largest all-payer inpatient database in the United States. Use, cost, and mortality estimates across payer, age, sex, and race/ethnicity are produced for grouped or multiple chronic conditions (MCC). The 5 most common dyads and triads were determined. ; Results ; In 2009, there were approximately 28 million adult discharges from US hospitals other than those related to pregnancy and maternity; 39% had 2 to 3 MCC, and 33% had 4 or more. A higher number of MCC was associated with higher mortality, use of services, and average cost. The percentages of Medicaid, privately insured patients, and ethnic/racial groups with 4 or more MCC were highly sensitive to age. ; Summary ; This descriptive analysis of multipayer inpatient data provides a robust national view of the substantial use and costs among adults hospitalized with MCC.
• Subjects:
  • Special Topic
  • Adult
  • Colorectal Neoplasms
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Intention
  • Social Support
• Source:
  Prev Chronic Dis. 10.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Volume:
  10
• Download URL:
  https://stacks.cdc.gov/view/cdc/19675/cdc_19675_DS1.pdf
• File Type:
  [PDF - 317.10 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:ac00e52e99414d699f2ab6f99cf1a837a3c58ab077fd31dfc26436d523d3238a2e5f4a7550df293dbd713eaeadf0d145f94f90b1b52a684e2dd4f3e74ff3dcbc