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Author Kocevar, V.S.; Bisgaard, H.; Jonsson, L.; Valovirta, E.; Kristensen, F.; Yin, D.D.; Thomas, J. 3rd url  openurl
  Title Variations in pediatric asthma hospitalization rates and costs between and within Nordic countries Type Journal Article
  Year (down) 2004 Publication Chest Abbreviated Journal Chest  
  Volume 125 Issue 5 Pages 1680-1684  
  Keywords Adolescent; Asthma/*economics/*epidemiology; Child; Child, Preschool; Costs and Cost Analysis; Denmark/epidemiology; Finland/epidemiology; Hospitalization/*economics/*statistics & numerical data; Humans; Infant; Length of Stay; Norway/epidemiology; Patient Readmission; Retrospective Studies; Sweden/epidemiology  
  Abstract BACKGROUND: We assessed variations in hospitalization parameters and costs among asthmatic children in four Nordic countries by geographic location and age groups. METHODS: Cross-sectional, county-level aggregate data on asthma-related hospitalizations in 1999, obtained from public national databases for children < 15 years old from Denmark, Sweden, Norway, and Finland, together with country-specific asthma management cost were used to estimate the incidence of first hospital admission (per 1,000), length of hospital stay (LOS), and hospitalization cost. Longitudinal patient-specific data from 1998/1999 were used to calculate the relative hazard of readmission (RHR) using a multivariate Cox proportional hazards model. RESULTS: Nordic incidence of first hospital admission in 1999 was 2.17 per 1,000 children, readmission was noted in 16% of the patients, mean LOS was 2.64 days, and total hospitalization cost was almost 14 million dollars. Hospitalization incidence, RHR, and costs were significantly higher in children < 5 years old compared with school children 6 to 14 years old. Hospital LOS, incidence of first hospital admission, and cost per child were the highest in Denmark, though RHR did not differ significantly from Sweden. CONCLUSIONS: Large variations in all parameters were observed between and within countries. Given the similarities among the four countries studied, these results may, among other reasons, indicate different efficiencies of the various asthma management plans between and within them. The presented measures of hospitalization patterns could prove to be valuable quality-of-care measures to guide further improvements in asthma management.  
  Address Department of Pharmacy Practice, Purdue University, West Lafayette, IN, USA  
  Corporate Author Thesis  
  Impact Factor 07,483 First Author Kocevar, V.S. Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Senior Author Thomas, J. 3rd  
  ISSN 0012-3692 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:15136376 Approved no  
  Call Number Serial 171  
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