The costs of asthma disease on the healthcare system

Asthma is a lung disease characterized by coughing, episodic wheezing and shortness of breath resulting from airway inflammation and hypersensitivity. It is thought that both the incidence and prevalence of asthma increase depending on the increase in lifestyle and environmental risk factors. In this study, we aimed to analyze the cost of patients with asthma in our country and to consider the reasons that increase the cost of asthma. The data of 100 patients (fifty female and fifty male) followed up with a diagnosis of asthma were analyzed in this study. The mean total cost of antibiotics was 1278.157±3645.403. The mean hospital costs of the patients were 2623.022±7519.284 and the mean intensive care unit (ICU) cost of the asthmatic patients in the ICU was 9557.877±114371.217. Statistically significant relations were detected between length of stay in hospital and total hospital cost (THC) (P=0.000), length of stay in the ICU and THC (p=0.000), length of stay in the service and THC (p=0.011), antibiotic use and THC (p= 0.018) and total cost of ICU stay and THC. Asthma affects people at various levels and causes significant costs on governments. Effective management of the disease can be achieved by eliminating and preventing both internal and external factors causing the disease and improving asthma education.

___

1. Villarroel MA, Blackwell DL. Percentage of adults aged 18–64 years with current asthma, by State-National Health Interview Survey,(Dagger) 2014– 2016. Atlanta (GA): Centers Disease Control 1600 Clifton Rd; 2018.30333 USA.

2. Mazurek JM. Prevalence of asthma, asthma attacks, and Emergency Department visits for asthma among working adults—national health interview survey, 2011—2016. MMWR Morb Mortal Wkly Rep. 2018;67.

3. Akinbani LJ, Moorman JE, Bailey C. Centers for disease control and prevention. trends in asthma prevalence, health care use, and mortality in the United States, 2001–2010. Hyattsville MD: National Center for Health Statistics Data Brief. 2012;94:1–7.

4. Nunes C, Pereira AM, Morais-Almeida M. Asthma costs and social impact. Asthma Res Pract. 2017;3:1.

5. Nurmagambetov T, Kuwahara R, Garbe P. The Economic Burden of Asthma in the United States, 2008–2013. Ann Am Thorac Soc. 2018;15:348–56.

6. Urmi Bhaumik, Susan J Sommer, Ryan Lockridge, et al. Woods (2019): community asthma initiative: cost analyses using claims data from a medicaid managed care organization. J Asthma. 2020;57:286-94.

7. O’Toole J, Mikulic L, Kaminsky DA. Epidemiology and pulmonary physiology of severe asthma. Immunol Allergy Clin. 2016;36:425–38. 8. To T, Stanojevic S, Moores G, et al. Global asthma prevalence in adults: findings from the crosssectional world health survey. BMC Public Health. 2012;19:204.

9. Yanagisawa S, Ichinose M. Definition and diagnosis of asthmae COPD overlap (ACO). Allergol Int. 2018;67:172-8.

10. McQueen RB, Sheehan DN, Whittington MD, et al. Cost-effectiveness of biological asthma treatments: a systematic review and recommendations for future economic evaluations. PharmacoEconomics. 2018;36:957-71.

11. Global Initiative for Asthma. Global strategy for asthma management and prevention, 2017. http://www.ginasthma.org.Accessed Dec 2017.

12. Cox LS, Murphey A, Hankin C. The cost-effectiveness of allergen immunotherapy compared with pharmacotherapy for treatment of allergic rhinitis and asthma. Immunol Allergy Clin N Am. 2020;40:69–85.

13. Mihaela S Stefan, Meng-Shiou Shieh, Kerry A Spitzer, et al. Lindenauer. association of antibiotic treatment with outcomes in patients hospitalized for an asthma exacerbation treated with systemic corticosteroids. JAMA Intern Med. 2019;179:333–9.

14. Lous P, Wise SK. Epidemiology and economic burden of asthma. Int Forum Allergy Rhinol. 2015;5:7–10. 15.

15. Costa E, Caetano R, Werneck GL, et al. Estimated cost of asthma in outpatient treatment: a real-world study. Rev Saude Publica. 2018;52:27.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Respiratory system symptoms in marble quarry and marble factory workers

Ahmet DUMANLI, Suphi AYDIN

The impact of COVID-19-related social restriction and containment measures on admissions for orthopedic surgery in a private hospital: cross-sectional data from a secondary healthcare provider in Turkey

Bertan CENGİZ

Why I hate diabetic foot

Amit Kumar C JAİN

Pre- and post-treatment comparison of the anxiety, depression and stress conditions of fathers with children with developmental dysplasia of the hip in early childhood

Duran TOPAK, Burak KUŞÇU, Fatih DOĞAR, Celaleddin TURGUT

A bioinformatic analysis of the spike glycoprotein & evolution of COVID-19

Atiksh CHANDRA, Sathees CHANDRA

Analysis of inmate patients admitted to emergency department of a tertiary education and research hospital: A retrospective cohort study

Cihan BEDEL, Fevzi YILMAZ, Ömer Faruk KARAKOYUN, Fatih SELVİ, Gülsüm ÇALIŞKAN, Gizem GÜLCAN

Evaluation of the correlation of D-Dimer tests with tomographic findings in Covid-19 patients

Ali̇ Volkan ÖZDEMİR, Soycan MIZRAK, Hakan YILMAZ

Treatment of perforated acute cholecystitis with percutaneous cholecystostomy

Sevcan ALKAN KAYAOĞLU

112 (911) violence against healthcare workers and its results i̇n Turkey

Hatice PEKİNCE, Ayfer Sahi̇n DUMAN, Ramazan GÜRGÖZE

AVIPTADIL; Class effect of a Synthetic VIP as a treatment option in COVID 19 patients with severe respiratory failure

Dwaipayan Sarathi CHAKRABORTY, Shouvik CHOUDHURY, Sandeep LAHİRY