Factors influencing the costs of emergency medical admissions to an Irish teaching hospital

European Journal of Health Economics

Volumn 7, Issue 2, 2006, Pages 123-128

  Moloney, Edward D ^a   Bennett, Kathleen ^a   Silke, Bernard ^a  

^a ST JAMES S HOSPITAL   (Ireland)

Author keywords

Costs of emergency medical admissions; HIPE; Length of stay

Indexed keywords

ADOLESCENT; ADULT; AGED; ANEMIA; ARTICLE; CANCER; CHILD; CODING; DATA BASE; DIABETES MELLITUS; EMERGENCY HEALTH SERVICE; FEMALE; HEART FAILURE; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL DISCHARGE; HOSPITAL PLANNING; HUMAN; INFANT; IRELAND; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; NEWBORN; PNEUMONIA; PRIORITY JOURNAL; STROKE; TEACHING HOSPITAL;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHILD; CHILD, PRESCHOOL; CHRONIC DISEASE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL COSTS; HOSPITALS, UNIVERSITY; HUMANS; INFANT; INFANT, NEWBORN; IRELAND; LENGTH OF STAY; MALE; MIDDLE AGED;

EID: 33749837580     PISSN: 16187598     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10198-006-0343-4     Document Type: Article

References (39)

1. Anderson G, Steinberg E (1984) Hospital re-admissions in the Medicare population. N Engl J Med 311:1349-1353
2. Bain MR, Chambers JW, Brewster DH (1997) Routinely collected data in national and regional databases-an underused resource. J Public Health Med 19:413-418
3. Berkelman RL, Buehler JW (1990) Public health surveillance of non-infectious chronic diseases: the potential to detect rapid changes in disease burden. Int J Epidemiol 19:628-635
4. Blatchford O, Capewell S (1997) Emergency medical admissions: taking stock and planning for winter. BMJ 315:1322-1323
5. Capewell S (1996) The continuing rise in emergency admissions. BMJ 312:991-992
6. Capewell S, McMurray JJV (2000) "Chest pain-please admit", is there an alternative. BMJ 320:951-952
7. Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40:373-383
8. Goldacre MJ, Simmons H, Henderson J, Gill LE (1998) Trends in episode based and person based rates of admissions to hospital in the Oxford record linkage study area. BMJ 296:583-585
9. Goodacre S, Calvert N (2003) Cost effectiveness of diagnostic strategies for patients with acute undifferentiated chest pain. Emerg Med J 20:429-433
10. Gross PA, Yost-Cataruozolo PE, DeMauro P, Passaglia L, Eason P, Hopkins B, Fiallo M, Wallenstein S, Levine J, Boscamp J (1993) Use of severity adjusted length of stay to modify physician practice patterns. Clin Perform Qual Health Care 1:23-28
11. Gubitz G, Phillips S, Dwyer V (1999) What is the cost of admitting patients with transient ischaemic attacks to hospital? Cerebrovasc Dis 9:210-214
12. Henderson J, Goldacre MJ, Graveney MJ, Simmons HM (1989) Use of medical record linkage to study re-admission rates. BMJ 299:709-713
13. Hennen J, Krumholz H, Radford M, Meehan T (1995) Re-admission rates, 30 and 365 days post-discharge. Conn Med 59:263-270
14. Ishizaki T, Imanaka Y, Oh E, Kuwabara K, Hirose M, Hayashida K, Harada Y (2004) Association of hospital resource use with co-morbidity status and patient age among hip fracture patients in Japan. Health Policy 69:179-187
15. Jones J (1986) Re-admission rates: the price of early discharge. Health Serv J 96:825
16. Kendrick S (1996) The pattern of increase in emergency hospital admissions in Scotland. Health Bull (Edinb) 54:169-183
17. Kinnunen T, Saynajakangas O, Tuuponen T, Keistinen T (2003) Impact of co-morbidities on the duration of COPD patients' hospital episodes. Respir Med 97:143-146
18. LAIA (2003) Trends in COPD. Lung Asthma Information Agency. St Georges Hospital Medical School: London
19. MacIntyre CR, Ackland MJ, Chandraraj EJ, Pilla JE (1997) Accuracy of ICD-9-CM codes in hospital morbidity data, Victoria: implications for public health research. Aust N Z J Public Health 21:477-482
20. Maldonado MR, Chong ER, Oehl MA, Balasubramanyam A (2003) Economic impact of diabetic ketoacidosis in a multiethnic indigent population. Diabetes Care 26:1265-1269
21. Matsui K, Goldman L, Johnson PA, Kuntz KM, Cook EF, Lee TH (1996) Co-morbidity as a correlate of length of stay for hospitalised patients with acute chest pain. J Gen Intern Med 11:262-268
22. McGowan B, Heerey A, Ryan M, Barry M (2000) Cost of treating heart failure in an Irish teaching hospital. Ir J Med Sci 169:241-244
23. McGowan B, Heerey A, Tilson L, Ryan M, Barry M (2003) Cost of treating stroke in an Irish teaching hospital. Ir Med J 96:234-236
24. Moloney ED, Bennett K, Silke B (2004) Patient and disease profile of emergency medical re-admissions to an Irish teaching hospital. Postgrad Med J 80:470-474
25. Moloney ED, Bennett K, Silke B (2004) Length of hospital stay, diagnoses and pattern of investigation following emergency admission to an Irish teaching hospital. Ir Med J 97:170-172
26. Netton A, Curtis L (2000) Unit costs of health and social care. Personal Social Services Research Unit: Cantebury
27. Niederman MS, McCombs JS, Unger AN, Kumar A, Popovian R (1998) The cost of treating community-acquired pneumonia. Clin Ther 20:820-837
28. O'Neill B (1982) The hospital in-patient enquiry schemea study of data accuracy. Ir Med J 75:238-239
29. Philbin EF, McCullough PA, Dec GW, DiSalvo TG (2001) Length of stay and procedure utilization are the major determinants of hospital charges for heart failure. Clin Cardiol 24:56-62
30. Pope JH, Aufderheide TP, Ruthazer R, Woolard RH, Feldman JA, Beshansky JR, Griffith JL, Selker HP (2000) Missed diagnosis of acute cardiac ischaemia in the emergency department. N Engl J Med 342:1163-1170
31. Ram FS, Wedzicha JA, Wright J, Greenstone M (2004) Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: systematic review of evidence. BMJ 329:315-319
32. Royal College of Physicians (1981) Disabling chest disease: prevention and care. J R Coll Physicians (Lond) 15:69-87
33. Saltz CC, McVey LJ, Becker PM, Feussner JR, Cohen HJ (1988) Impact of a geriatric consultation team on discharge placement and repeat hospitalisation. Gerontologist 28:344-350
34. Santos-Eggimann B, Chavaz N, Larequi T, Lamy O, Yersin B (2001) Heart failure and community-acquired pneumonia: cases for home hospital? Int J Qual Health Care 13:301-307
35. Smith MW (1989) Hospital discharge diagnoses: how accurate are they and their international classification of disease (ICD) codes? N Z Med J 102:507-508
36. Teng J, Mayo NE, Latimer E, Hanley J, Wood-Dauphinee S, Cote R, Scott S (2003) Costs and caregiver consequences of early supported discharge for stroke patients. Stroke 34:528-536
37. Tierney AJ, Worth A (1995) Re-admission of elderly patients to hospital. Age Ageing 24:163-166
38. Walter R (1998) The revolving door of hospital re-admissions. Caring 17:56-59
39. Zalenski RJ, Rydman RJ, Ting S, Kampe L, Selker HP (1998) A national survey of emergency department chest pain centres in the United States. Am J Cardiol 81:1305-1309