Key result
In patients with diabetes and coexisting hypertension, the overall median cost of treatment was $295.6, and length of stay varied significantly based on systolic blood pressure levels.
Why the study?
The coexistence of diabetes mellitus and hypertension worsens clinical outcomes and increases morbidity and mortality, necessitating analysis of length of stay and healthcare costs in this population.
What are the healthcare costs and length of stay for patients hospitalized with diabetes and coexisting hypertension in North India?
Observational (n=1,914)
Yes
What are the healthcare costs and length of stay for patients hospitalized with diabetes and coexisting hypertension in North India?
The study highlights the significant economic burden and length of stay associated with hospitalizations for diabetes with coexisting hypertension in North India.
May inform resource planning in similar settings; leaves open whether SBP optimization affects costs or stay.
INTRODUCTION: The coexistence of diabetes mellitus (DM) and hypertension (HTN) worsens clinical outcomes and contributes to increased morbidity and mortality. OBJECTIVE: This study aims to analyse the length of stay and healthcare costs by calculating the direct and indirect costs of diabetes with coexisting hypertension in North India. METHODS: A prospective observational study was conducted at the medicine department of the three different hospitals. RESULTS: The patients' mean age was (M = 53.8, SD = 11.5) years. Out of 1914 patients, 53.65% were female. Our study revealed that the median cost of medical supplies and equipment was 21.2 $. The median cost of dialysis was 47.5 $; the median cost of hospitalisation was 142.6 $. The treatment's median direct cost was 188.5 $, followed by the overall median cost of 295.6 $. The maximum overall cost of treatment was observed at 603.9 $. It was observed that maximum LOS was 14 days for patients having BPS between 140 and 159 mmHg and BPD between 110 and 119 mmHg, and minimum LOS was found 3.5 days. CONCLUSION: c, whereas the significant results were obtained when RBS is compared with LOS and treatment costs. Our study concluded that mean difference of 9.24 $ in patients having FBS was 261-290 mg/dL and >290 mg/dL. The LOS is increased by 6.57 days for patients with BPS between 140 and 159 mmHg compared with BPS between 180 and 209 and above mmHg, which lowers treatment costs by -21.31$.
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Sharma et al. (2021) conducted an observational in diabetes with coexisting hypertension (n=1,914). Diabetes with coexisting hypertension was evaluated on length of stay and healthcare costs. In patients with diabetes and coexisting hypertension, the overall median cost of treatment was $295.6, and length of stay varied significantly based on systolic blood pressure levels.
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