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Table 5 Comparison of total cost elements between the "Most costly" COPD patients and the remainder.

From: Determinants of elevated healthcare utilization in patients with COPD

 

"Most costly"*(n = 98)

The remainder (n = 291)

P value†

Annualized Total Cost

9681 ± 6475

1899 ± 1185

<0.001

(US$/person)

7692 (6365 - 9892)

1632 (949 - 2660)

 

Hospitalization

4129 ± 3549

607 ± 745

<0.001

Annualized Costs ($US/person)

3147 (1567 - 6061)

352 (0 - 875)

 

Annualized Days/person

10.4 ± 10.7

1.4 ± 1.7

<0.001

 

7.4 (3.6 - 13.8)

0.8 (0 - 2.0)

 

Annualized

2.4 ± 1.9

0.5 ± 0.6

<0.001

Admissions/person

1.9 (1.0 - 3.0)

0.2 (0 - 0.6)

 

Average Length

4.3 ± 2.4

3.4 ± 2.2

<0.001

Days/Admission

3.7 (3.0 - 4.9)

3.0 (2.0 - 4.0)

 

Surgeries

2557 ± 2817

268 ± 565

<0.001

Annualized Costs ($US/person)

1991 (477 - 4166)

0 (0 - 238)

 

Annualized

0.4 ± 0.3

0.1 ± 0.1

<0.001

Number/person

0.4 (0.2 - 0.6)

0 (0 - 0.2)

 

Diagnostic procedures

676 ± 444

357 ± 264

<0.001

Annualized Costs ($US/person)

631 (339 - 849)

289 (161 - 506)

 

Annualized

8.6 ± 4.9

5.5 ± 3.4

<0.001

Number/person

7.4 (5.2 - 12.2)

4.8 (3.0 - 7.2)

 

Consultations

278 ± 180

174 ± 124

<0.001

Annualized Costs ($US/person)

256 (141 - 381)

157 (77 - 240)

 

Annualized

9.1 ± 6.0

5.7 ± 4.0

<0.001

Visits/person

8.2 (4.4 - 12.6)

5.0 (2.4 - 8.0)

 

Emergency Room Visit

108 ± 121

40 ± 51

<0.001

Annualized Costs ($US/person)

59 (29 - 147)

29 ( 0 - 59)

 

Annualized

0.7 ± 0.8

0.3 ± 0.3

<0.001

Visits/person

0.4 (0.2 - 1.0)

0.2 (0 - 0.4)

 

Medication

1856 ± 5855

432 ± 327

<0.001

Annualized Costs ($US/person)

709 (420 - 1171)

340 (191 - 636)

 

Annualized Number of

109.8 ± 51.3

63.8 ± 45.4

<0.001

Prescriptions/person

104.1 (72.4 - 139.2)

53.0 (30.0 - 93.6)

 
  1. Values are presented as mean ± SD and median (25-75 percentiles).
  2. * The "most costly" patients are those whose annualized utilization cost was within the upper 25 percentile.
  3. † Mann-Whitney U test.