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. 2022 Aug 14;19(16):10035.
doi: 10.3390/ijerph191610035.

Length of Hospital Stay, Hospitalization Costs, and Their Drivers in Adults with Diabetes in the Romanian Public Hospital System

Cornelia Bala  1   2 , Adriana Rusu  1   2 , Dana Ciobanu  1   2 , Gabriela Roman  1   2
Affiliations

Length of Hospital Stay, Hospitalization Costs, and Their Drivers in Adults with Diabetes in the Romanian Public Hospital System

Cornelia Bala et al. Int J Environ Res Public Health. .

Abstract

The aim of this analysis was to assess the costs associated with the hospitalizations of persons with diabetes in a Romanian public hospital. We performed a retrospective “top-down” cost analysis of all adult patients discharged from a tertiary care hospital with an ICD-10 primary or secondary code of diabetes mellitus (type 1, type 2, or specific forms) between 1 January 2015 and 31 December 2018. All costs were adjusted with the annual inflation rates and converted to EUR. We included 16,868 patients with diabetes and 28,055 episodes of hospitalization. The total adjusted hospitalization cost in the analyzed period was EUR 26,418,126.8 and the adjusted median cost/episode of hospitalization was EUR 596.5. The mean length of a hospital stay/episode was 7.3 days. In the multivariate regression analysis, higher adjusted average costs/episodes of hospitalization and longer lengths of hospital stays were associated with increasing age, the presence of cardiovascular diseases, chronic kidney disease, and foot ulcerations. Moreover, a significant association between the average cost/episode of hospitalization and the length of hospital stay was observed (β = 0.704, p < 0.001). This study shows the burden on Romanian public hospitals of inpatient diabetes care and the main drivers of the costs.

Keywords: diabetes mellitus; direct costs; hospitalization; length of hospital stay.

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Conflict of interest statement

C.B. reports honoraria for lectures, advisory board and other support and fees from AstraZeneca, Bayer, Boehringer Ingelheim, Eli Lilly, Novo Nordisk, Medtronic, and Sanofi; D.C. received fees from AstraZeneca, Sanofi, Eli Lilly and NovoNordisk; A.R. declares support from Sanofi; G.R. reports honoraria for lectures, advisory board, expert testimony, and other support from AstraZeneca, Boehringer Ingelheim, Eli Lilly, Medtronic, Novo Nordisk, and Sanofi.

Figures

Figure 1
Figure 1
Evolution of total costs panel (A), median cost/episode of hospitalization panel (B), and the number of episodes of hospitalization in the studied period panel (C).
See this image and copyright information in PMC

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