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COVID-19 healthcare cost and length of hospital stay in Turkey: retrospective analysis from the first peak of the pandemic

Author

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  • Ergun Oksuz

    (Baskent University, Faculty of Medicine)

  • Simten Malhan

    (Baskent University, Faculty of Health Sciences)

  • Mustafa Sait Gonen

    (Istanbul University-Dean of Cerrahpasa Medical School)

  • Zekayi Kutlubay

    (Istanbul University-Dean of Cerrahpasa Medical School)

  • Yilmaz Keskindemirci

    (Istanbul University Hospitals General Director)

  • Fehmi Tabak

    (Istanbul University -Cerrahpasa Medical School)

Abstract

Background During the COVID-19 pandemic, health care systems are under extreme pressure. This study analyzed health care resource use (HCRU) and costs in patients admitted to the hospital for COVID-19 and aimed to estimate the one-year direct medical cost of the disease in Turkey. Methods This retrospective cohort study was conducted between March and July 2020 in a tertiary hospital (n = 1056) in Istanbul. Patient demographics, clinical and treatment characteristics at admission, comorbidities, disease severity, and costs from a payer perspective were evaluated using the microcosting method. The results include LOS, hospital costs, and univariate and generalized linear models to investigate influencing factors. The data were extrapolated to provide a country-level estimate. Results The mean length of stay was 9.1 days (SD 6.9). The mean length of stay was 8.0 days (4.7) for patients hospitalized in wards versus 14.8 days (SD 12.0) for patients hospitalized in the ICU. In univariate analysis, several factors, including O2 therapy (+ 3.7 days), high CRP > 41.8 mg/L (+ 3.8 days), and elevated ferritin (+ 3.5), were found to be associated with a longer LOS (p

Suggested Citation

  • Ergun Oksuz & Simten Malhan & Mustafa Sait Gonen & Zekayi Kutlubay & Yilmaz Keskindemirci & Fehmi Tabak, 2021. "COVID-19 healthcare cost and length of hospital stay in Turkey: retrospective analysis from the first peak of the pandemic," Health Economics Review, Springer, vol. 11(1), pages 1-12, December.
    • Handle: RePEc:spr:hecrev:v:11:y:2021:i:1:d:10.1186_s13561-021-00338-8
    DOI: 10.1186/s13561-021-00338-8
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    References listed on IDEAS

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    1. Scott R. Baker & Nicholas Bloom & Steven J. Davis & Stephen J. Terry, 2020. "COVID-Induced Economic Uncertainty," NBER Working Papers 26983, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Gökçe Manavgat & Martine Audibert, 2024. "Healthcare system efficiency and drivers: Re-evaluation of OECD countries for COVID-19," Post-Print hal-04350906, HAL.

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