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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar el impacto que han tenido los ingresos por enfermedad pulmonar obstructiva cr&#243;nica &#40;EPOC&#41; en Andaluc&#237;a durante el a&#241;o 2000</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron del Conjunto M&#237;nimo B&#225;sico de Datos de Andaluc&#237;a 2000 todos los pacientes con el c&#243;digo GRD 088 y aquellos con GRD 541 que tuvieran como causa de ingreso algunos de estos c&#243;digos CIE-9&#58; 491&#44; 492&#44; 493&#46;2&#44; 494 y 496&#46; Con estos datos se realiz&#243; un estudio descriptivo&#46; Posteriormente&#44; se realiz&#243; el c&#225;lculo del coste de una estan-cia en nuestro centro y se extrapol&#243; al resto de Andaluc&#237;a&#44; calculando el coste m&#237;nimo generado</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante el a&#241;o 2000 hubo 10&#46;386 ingresos por reagudizaci&#243;n de EPOC&#44; lo que gener&#243; 117&#46;011 estan-cias&#46; El 83&#37; de los ingresos fueron varones&#46; La edad media fue de 70 &#177; 12 a&#241;os&#46; La estancia media fue de 11 &#177; 10 d&#237;as&#46; La provincia con la estancia menor fue Huelva con 9 d&#237;as&#46; La mortalidad fue del 6&#44;7&#37;&#46; El gasto sanitario m&#237;nimo ge-nerado fue de 27 millones de euros &#40;4&#46;500 millones de pesetas&#41;&#44; sin contar con las estancias de UCI</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los ingresos por EPOC generan un gran impacto asistencial y econ&#243;mico en la sanidad andaluza&#46; Son necesarios estudios que valoren otras alternativas al ingreso</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the impact of admissions for chronic obstructive pulmonary disease &#40;COPD&#41; in Andalusia during 2000</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">All patients with DRG codes 088 and 541&#44; which would receive ICD-9 codes 491&#44; 492&#44; 493&#46;2&#44; 494 and 496 in the cause of admission field&#44; were extracted from the Minimum Basic Data Set for Andalusia&#46; We compiled descriptive statistics from these data&#44; calculated the cost per day of hospitalization for our own hospital&#44; and then extrapolated to estimate the cost for Andalusia</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">COPD exacerbations generated 10&#44;386 admissions in 2000&#44; leading to 117&#44;011 days of hospitalization&#46; Eighty-three percent of the patients were men and the mean age was 70 &#177; 12 years&#46; The average hospital stay was 11 &#177; 10 days&#46; Huelva was the province with the shortest hospital stay &#40;9 days&#41;&#46; Mortality was 6&#46;7&#37;&#46; The minimum expenditure generated was z&#46;euro&#59; 27 million&#44; not counting the cost of intensive care unit admissions</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Admissions due to COPD have great impact on the Andalusian health care system&#46; Further studies are needed to evaluate alternatives to hospitalization</p>"
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Vol. 38. Issue 10.
Pages 473-478 (October 2002)
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Vol. 38. Issue 10.
Pages 473-478 (October 2002)
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Análisis de los ingresos por enfermedad pulmonar obstructiva crónica en Andalucía, año 2000
Analysis of admissions for chronic obstructive pulmonary disease in Andalusia in 2000
Visits
7703
J.L. López-Campos Bodineau
Corresponding author
lcampos@hcs.es

Correspondencia: Avda. Reina Mercedes, 35, 6° D. 41012 Sevilla
, J. Fernández Guerra, L. Moreno, J.J. Cebrián Gallardo, J.M. García Jiménez
A. Lara Blanquera, E. Perea-Milla Lópezb
a Unidad de Neumología. Unidad de Documentación Clínica. Hospital Costa del Sol. Marbella. Málaga
b Unidad de Neumología. Unidad de Investigación y Docencia. Hospital Costa del Sol. Marbella. Málaga
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Article information
Objetivo

Analizar el impacto que han tenido los ingresos por enfermedad pulmonar obstructiva crónica (EPOC) en Andalucía durante el año 2000

Métodos

Se seleccionaron del Conjunto Mínimo Básico de Datos de Andalucía 2000 todos los pacientes con el código GRD 088 y aquellos con GRD 541 que tuvieran como causa de ingreso algunos de estos códigos CIE-9: 491, 492, 493.2, 494 y 496. Con estos datos se realizó un estudio descriptivo. Posteriormente, se realizó el cálculo del coste de una estan-cia en nuestro centro y se extrapoló al resto de Andalucía, calculando el coste mínimo generado

Resultados

Durante el año 2000 hubo 10.386 ingresos por reagudización de EPOC, lo que generó 117.011 estan-cias. El 83% de los ingresos fueron varones. La edad media fue de 70 ± 12 años. La estancia media fue de 11 ± 10 días. La provincia con la estancia menor fue Huelva con 9 días. La mortalidad fue del 6,7%. El gasto sanitario mínimo ge-nerado fue de 27 millones de euros (4.500 millones de pesetas), sin contar con las estancias de UCI

Conclusiones

Los ingresos por EPOC generan un gran impacto asistencial y económico en la sanidad andaluza. Son necesarios estudios que valoren otras alternativas al ingreso

Palabras clave:
Enfermedad pulmonar obstructiva crónica
Epidemiología
Costes
Objective

To analyze the impact of admissions for chronic obstructive pulmonary disease (COPD) in Andalusia during 2000

Methods

All patients with DRG codes 088 and 541, which would receive ICD-9 codes 491, 492, 493.2, 494 and 496 in the cause of admission field, were extracted from the Minimum Basic Data Set for Andalusia. We compiled descriptive statistics from these data, calculated the cost per day of hospitalization for our own hospital, and then extrapolated to estimate the cost for Andalusia

Results

COPD exacerbations generated 10,386 admissions in 2000, leading to 117,011 days of hospitalization. Eighty-three percent of the patients were men and the mean age was 70 ± 12 years. The average hospital stay was 11 ± 10 days. Huelva was the province with the shortest hospital stay (9 days). Mortality was 6.7%. The minimum expenditure generated was z.euro; 27 million, not counting the cost of intensive care unit admissions

Conclusions

Admissions due to COPD have great impact on the Andalusian health care system. Further studies are needed to evaluate alternatives to hospitalization

Keywords:
Chronic obstructive pulmonary disease
Epidemiology
Cost
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