title: Hospital resource consumption and outcome. Route of admission and age for hospitalized otolaryngology patients.
abstract: Hospitals and physicians face new payment mechanisms that provide incentives to study health policy, management, and economics. The purpose of this study was to analyze hospital resource consumption and outcome based on age and the route of hospital admission (emergency [ER] vs nonemergency [non-ER]). We analyzed all adult otolaryngology hospital admissions (N = 1589) during a three-year period (1985 through 1987) to a large northeastern academic medical center. Hospital resource consumption, measured by hospital length of stay and total hospital cost per patient, rose with age for ER and non-ER admissions. Severity of illness, clinical resource utilization, and mortality demonstrated these same characteristics. Diagnosis related group prospective hospital payment generated financial risk for ER admissions and elderly patients. Analysis demonstrated ER admission as more predictive of subsequent hospital resource consumption and outcome with changes in age compared with non-ER admission. Our findings suggest that in the future physicians and hospitals may find that age and the route of admission may be useful in stratifying patients regarding cost and outcome.
authors.affiliation: Department of Otolaryngology, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
authors.forename: E
authors.initials: E
authors.lastname: Muñoz
authors.forename: G
authors.initials: G
authors.lastname: Zahtz
authors.forename: J
authors.initials: J
authors.lastname: Lamantia
authors.forename: D
authors.initials: D
authors.lastname: Chalfin
authors.forename: R
authors.initials: R
authors.lastname: Lackner
authors.forename: L
authors.initials: L
authors.lastname: Wise
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data*; D000328:Adult; D000367:Age Factors; D000368:Aged; D003365:Costs and Cost Analysis; D003953:Diagnosis-Related Groups; D006295:Health Resources / Q000706:statistics & numerical data*; D006746:Hospital Bed Capacity, 500 and over; D006801:Humans; D007902:Length of Stay / Q000191:economics*; D008875:Middle Aged; D009519:New York City; D010038:Otorhinolaryngologic Diseases / Q000191:economics*; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D012044:Regression Analysis; D014600:Utilization Review