Survival of Adult High-Cost Patients

作者: Steven A. Schroeder

DOI: 10.1001/JAMA.1981.03310390046020

关键词: Random allocationMedical careFollow up studiesMortality rateAfter dischargeMedicinePediatricsAcute careSurvival data

摘要: To assess the degree to which high-cost illness is terminal illness, survival data were obtained on a random sample of 776 adult patients from nine acute-care hospitals in San Francisco Bay area. Two years after discharge, at least 34% had died. These accounted for 39% hospital charges incurred by total group studied. Among factors significantly associated with death diagnosis cancer (62% death), age older than 64 (44% discharge medical (as opposed surgical) service (42% and bill $10,000 more (48% death). In-hospital posthospital rates varied greatly among hospitals. The suggest that large amounts care are consumed unfavorable prognoses. (JAMA1981;245:1446-1449)

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