Hospital utilization, costs, and mortality for adults with multiple chronic conditions, nationwide inpatient sample, 2009

Claudia A. Steiner, Bernard Friedman

Research output: Contribution to journalArticle

Abstract

Objective Our objective was to provide a national estimate across all payers of the distribution and cost of selected chronic conditions for hospitalized adults in 2009, stratified by demographic characteristics. Analysis We analyzed the Nationwide Inpatient Sample (NIS), the largest all-payer inpatient database in the United States. Use, cost, and mortality estimates across payer, age, sex, and race/ethnicity are produced for grouped or multiple chronic conditions (MCC). The 5 most common dyads and triads were determined. Results In 2009, there were approximately 28 million adult discharges other than those related to pregnancy and maternity, from US hospitals; 39% had 2 to 3 MCC, and 33% had 4 or more. A higher number of MCC was associated with higher mortality, use of services, and average cost. The percentages of Medicaid, privately insured patients, and race groups with 4 or more MCC were highly sensitive to age. Summary This descriptive analysis of multipayer inpatient data provides a robust national view of the substantial use and costs among adults hospitalized with MCC.

Original languageEnglish (US)
Article number120292
Pages (from-to)1-20
Number of pages20
JournalPreventing Chronic Disease
Volume10
Issue number4
DOIs
StatePublished - Apr 2013

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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