Prevalence and cost of hospitalization for gastrointestinal complications related to peptic ulcers with bleeding or perforation: comparison of two national databases.

摘要: The purpose of this study was to determine the prevalence and cost hospitalization for upper gastrointestinal complications, including peptic ulcers with hemorrhage or perforation. Upper complications corresponding economic data were obtained from two sources. first a 20% sample all community hospital discharges (about 6 million per year) 11 states 1991 1992 Hospital Cost Utilization Project; HCUP-3). second source claims database employees large US corporations their dependents 1992, 1993, 1994 3.5 covered lives year; MarketScan). A group ICD-9 codes diagnosis gastroduodenal bleeding perforation used identify admissions because complications. Similar patterns observed across MarketScan HCUP-3 databases regarding diagnoses related identified according codes. average age patients 66 years in 52 database. annual rates as primary secondary 6.4 6.7 1000 respectively (HCUP-3), 4.3, 4.2, 4.9 1994, (MarketScan). length stay 7.8 days 7.5 (HCUP-3) 6.1, 5.1, 5.1 national total charge problems $12,970 $14,294 (HCUP-3). reimbursement hospitalizations $15,309 $12,987 $13,150 are expensive. rate admission higher older population. results on elements by both consistent. Therefore complement each other type information abstracted.