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    Length of stay and associated costs of obesity related hospital admissions in Ireland.

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    Authors
    Vellinga, Akke
    O'Donovan, Diarmuid
    De La Harpe, Davida
    Affiliation
    Department of Public Health, Health Service Executive West, Galway, Ireland.
    Issue Date
    2008
    MeSH
    Adolescent
    Adult
    Child
    Female
    Hospital Costs
    Hospitalization
    Humans
    Ireland
    Length of Stay
    Male
    Obesity
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    Citation
    Length of stay and associated costs of obesity related hospital admissions in Ireland. 2008, 8:88notBMC Health Serv Res
    Journal
    BMC health services research
    URI
    http://hdl.handle.net/10147/29760
    http://www.biomedcentral.com/content/pdf/1472-6963-8-88.pdf
    DOI
    10.1186/1472-6963-8-88
    PubMed ID
    18426608
    Abstract
    BACKGROUND: Obesity is the cause of other chronic diseases, psychological problems, obesity shortens the lifespan and puts strain on health systems. The risk associated with childhood obesity in particular, which will accelerate the development of adult morbidity and mortality, has been identified as an emerging public health problem. METHODS: To estimate the length of stay and associated hospital costs for obesity related illnesses a cost of illness study was set up. All discharges from all acute hospitals in the Republic of Ireland from 1997 to 2004 with a principal or secondary diagnostic code for obesity for all children from 6 to 18 years of age and for adults were collected.A discharge frequency was calculated by dividing obesity related discharges by the total number of diagnoses (principal and secondary) for each year. The hospital costs related to obesity was calculated based on the total number of days care. RESULTS: The discharge frequency of obesity related conditions increased from 1.14 in 1997 to 1.49 in 2004 for adults and from 0.81 to 1.37 for children. The relative length of stay (number of days in care for obesity related conditions per 1000 days of hospital care given) increased from 1.47 in 1997 to 4.16 in 2004 for children and from 3.68 in 1997 to 6.74 in 2004 for adults.Based on the 2001 figures for cost per inpatient bed day, the annual hospital cost was calculated to be 4.4 Euromillion in 1997, increasing to 13.3 Euromillion in 2004. At a 20% variable hospital cost the cost ranges from 0.9 Euromillion in 1997 to 2.7 Euromillion in 2004; a 200% increase. CONCLUSION: The annual increase in the proportion of hospital discharges related to obesity is alarming. This increase is related to a significant increase in economic costs. This paper emphasises the need for action at an early stage of life. Health promotion and primary prevention of obesity should be high on the political agenda.
    Item Type
    Article
    Language
    en
    ISSN
    1472-6963
    ae974a485f413a2113503eed53cd6c53
    10.1186/1472-6963-8-88
    Scopus Count
    Collections
    Hospitals (Acute Services)

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