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Inpatient deaths cost nearly $20 billion; septicemia leading cause
One of every three people who died in the U.S. in 2007 was in the hospital for treatment at the time of death, accumulating $20 billion in costs, the Agency for Healthcare Research and Quality (AHRQ) recently reported. The leading principal diagnosis was septicemia (see table).
The AHRQ’s analysis of 765,651 hospital patient deaths in 2007 found that the average cost of hospital stays in which patients died was $26,035, versus an average of $9,447 for patients who were discharged alive (2.8 times higher). Costs were higher for patients who died because their hospitals stays were longer than those who lived (8.8 days vs. 4.5 days).
The average cost for each Medicaid patient who died was about $39,000—roughly $15,000 (5.6%) more than the average cost of a Medicare or uninsured patient who died, and about $10,000 more than a privately insured patient who died.
The report uses statistics from the 2007 Nationwide Inpatient Sample, a database of hospital inpatient stays that represents all short-term, non-federal hospitals. The data are drawn from hospitals that make up 90% of all discharges in the U.S. and include all patients, regardless of insurance type, as well as the uninsured.
Source: Statistical Brief #81. Healthcare Cost and Utilization Project (HCUP). November 2009. Agency for Healthcare Research and Quality, Rockville, MD.
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From the September 1, 2010 edition
- Statin prescriptions at discharge increasing in patients with intracerebral hemorrhage
- Black and low-income patients more likely to leave hospital against medical advice, be readmitted
Cartoon Caption Contest
This issue's winning cartoon caption was submitted by Patricia J. Peterson, FACP, in practice in Longview, Wash., who will receive a $50 gift certificate good toward any ACP product, program or service. Thanks to all who voted!
"Did you say you were a little horse? Or a little hoarse?"
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