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COVID-19 healthcare cost and length of hospital stay in Turkey: retrospective analysis from the first peak of the pandemic

Ergun Oksuz (), Simten Malhan (), Mustafa Sait Gonen (), Zekayi Kutlubay (), Yilmaz Keskindemirci () and Fehmi Tabak ()
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Ergun Oksuz: Baskent University, Faculty of Medicine
Simten Malhan: Baskent University, Faculty of Health Sciences
Mustafa Sait Gonen: Istanbul University-Dean of Cerrahpasa Medical School
Zekayi Kutlubay: Istanbul University-Dean of Cerrahpasa Medical School
Yilmaz Keskindemirci: Istanbul University Hospitals General Director
Fehmi Tabak: Istanbul University -Cerrahpasa Medical School

Health Economics Review, 2021, vol. 11, issue 1, 1-12

Abstract: Abstract Background During the COVID-19 pandemic, health care systems are under extreme pressure. This study analyzed health care resource use (HCRU) and costs in patients admitted to the hospital for COVID-19 and aimed to estimate the one-year direct medical cost of the disease in Turkey. Methods This retrospective cohort study was conducted between March and July 2020 in a tertiary hospital (n = 1056) in Istanbul. Patient demographics, clinical and treatment characteristics at admission, comorbidities, disease severity, and costs from a payer perspective were evaluated using the microcosting method. The results include LOS, hospital costs, and univariate and generalized linear models to investigate influencing factors. The data were extrapolated to provide a country-level estimate. Results The mean length of stay was 9.1 days (SD 6.9). The mean length of stay was 8.0 days (4.7) for patients hospitalized in wards versus 14.8 days (SD 12.0) for patients hospitalized in the ICU. In univariate analysis, several factors, including O2 therapy (+ 3.7 days), high CRP > 41.8 mg/L (+ 3.8 days), and elevated ferritin (+ 3.5), were found to be associated with a longer LOS (p

Keywords: COVID-19; SARS-COV-2; Health care cost; Length of stay; Intensive care unit; Inpatient; Severity of the disease (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1186/s13561-021-00338-8

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