Incidence, direct costs and duration of hospitalization of XXXX hospitalized with community acquired @entity55 : A nationwide retrospective claims database analysis.

@entity1 @entity497 @entity697 @entity55
BACKGROUND: @entity497 ( @entity497 ) is one of the most common @entity697 associated with a substantial clinical and economic burden. There have been few studies assessing incidence rate, duration of hospitalization, and costs of hospitalized @entity497 by age and care-setting. METHODS: A retrospective study was conducted using a nationwide Dutch database containing healthcare claims data of 16.7 million inhabitants. @entity1 with at least one claim with a discharge diagnosis of @entity497 between January 2008 and December 2011 were selected. The main outcome measures considered were the incidence rate, duration of hospitalization, and the direct costs of hospitalized @entity497 stratified by age and care-setting. RESULTS: In total, 195,372 @entity497 cases were included in the analysis resulting in an average incidence of 295 per 100,000 population per year. Sixty-three percent (123,357) of the included @entity1 were hospitalized for 1 or more nights, of which 5.9% (n=7241) spent at least one night in the Intensive Care Unit (ICU). Overall, these 123,357 @entity1 spent 824,985 days in the hospital of which 48,324 were spent on the ICU. The mean duration of hospitalization of ICU @entity1 and general ward @entity1 was 15.2 days and 6.2 days, respectively. The total costs related to all 195,372 @entity497 episodes during these 4 years were    711 million, with the majority (76%) occurring among those aged 50 years and older. Median (and mean) costs were dependent on age and type of care with costs ranging from    344 (   482) per episode for 0-9 year olds treated in the outpatient hospital setting up to    10,284 (   16,374) per episode for 50-64 year olds admitted to the ICU. CONCLUSION: There is a large variation in terms of incidence, disease burden and costs across different age groups and the treatment setting. Effective interventions, targeted at older adults, to prevent @entity55 could reduce the (financial) burden due to @entity55 .
