Mehmet Turan İNAL, Dilek MEMİŞ, Birgül Büyükkıran YELKEN, Necdet SÜT

Intensive care cost analysis of patients with acute exacerbations of chronic obstructive pulmonary diseases from two university hospitals

Amaç: Kronik obstrüktif akciğer hastalığı (KOAH) dünya çapında ölümlerin ana nedeni olup, mortalite hızı sürekli yükselmekte ve önemli sosyoekonomik yük oluşturmaktadır. Bu çalışmada iki farklı üniversite hastanesi yoğun bakım ünitesinde KOAH akut alevlenmesi olan hastaların maliyetlerinin incelenmesi hedeflenmiştir. Gereç ve Yöntemler: 1 Ocak 2005 ile 15 Haziran 2008 tarihleri arasında KOAH akut alevlenmesi nedeniyle tedavi olan 156 hasta (128 erkek ve 28 kadın) analiz edilmiştir. Bulgular: Hastaların ortalama yaşı 68.2 olarak bulunmuştur. Ortalama hastanede kalış süresi 10.4 gün olarak saptanmıştır. Sağ kalan ve ölen hastaların maliyetleri birbirlerinden farklı bulunmuştur. Sağ kalanlar ve ölen hastalar arasında yatak ücreti, laboratuar ücreti, radyoloji ücreti ve konsültasyon ücretleri dışındaki diğer tüm tedavi maliyetlerinde istatistiksel farklılık saptanmıştır. Sonuç: KOAH akut alevlenmesi olan hastaların tedavi maliyetlerinin Türk sağlık sistemi içinde hatırı sayılır yer oluşturduğunu düşünmekteyiz.

Kronik obstrüktif akciğer hastalığı akut alevlenmesi olan hastaların iki üniversite hastanesi yoğun bakım ünitesinde tedavi maliyetlerinin hesaplanması

Objective: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of death worldwide with a continued rising mortality rate, and it represents a major socioeconomic burden. The aim of this study was to examine the costs of acute exacerbation of COPD patients admitted to two different university hospital intensive care units. Material and Methods: We analyzed 156 patients (128 male and 28 female) who were admitted for treatment of acute exacerbations of COPD from January 1, 2005 to June 15, 2008. Results: The mean age of the patients was 68.2 years. The mean length of hospitalisation stay was 10.4 days. The costs were different between survivors and non-survivors. There was a statistically significant difference between survivors and non-survivors groups in all costs except bed costs, laboratory costs, radiology costs and consultation costs. Conclusion: These results suggest that the cost of patients with acute exacerbations of COPD represents a considerable economic burden for the health care system in Turkey.

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