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Mutowo, M.P.* ; Lorgelly, P.K.* ; Laxy, M. ; Renzaho, A.M.N.* ; Mangwiro, J.C.* ; Owen, A.J.*

The hospitalization costs of diabetes and hypertension complications in Zimbabwe: Estimations and correlations.

J. Diabetes Res. 2016:9754230 (2016)
Verlagsversion Anhang DOI PMC
Open Access Gold
Creative Commons Lizenzvertrag
Objective: Treating complications associated with diabetes and hypertension imposes significant costs on health care systems. This study estimated the hospitalization costs for inpatients in a public hospital in Zimbabwe. Methods. The study was retrospective and utilized secondary data from medical records. Total hospitalization costs were estimated using generalized linear models. Results. The median cost and interquartile range (IQR) for patients with diabetes, $994 (385-1553) mean $1319 (95% CI: 981-1657), was higher than patients with hypertension, $759 (494-1147) mean $914 (95% CI: 825-1003). Female patients aged below 65 years with diabetes had the highest estimated mean costs ($1467 (95% CI: 1177-1828)). Wound care had the highest estimated mean cost of all procedures, $2884 (95% CI: 2004-4149) for patients with diabetes and $2239 (95% CI: 1589-3156) for patients with hypertension. Age below 65 years, medical procedures (amputation, wound care, dialysis, and physiotherapy), the presence of two or more comorbidities, and being prescribed two or more drugs were associated with significantly higher hospitalization costs. Conclusion. Our estimated costs could be used to evaluate and improve current inpatient treatment and management of patients with diabetes and hypertension and determine the most cost-effective interventions to prevent complications and comorbidities.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Length-of-stay; Medical Costs; Care; Prevalence; Diagnosis; Tanzania; Mellitus; Outcomes; Disease; Burden
ISSN (print) / ISBN 2314-6753
e-ISSN 2314-6745
Zeitschrift Journal of Diabetes Research
Quellenangaben Band: 2016, Heft: , Seiten: , Artikelnummer: 9754230 Supplement: ,
Verlag Hindawi
Verlagsort New York, NY [u.a.]