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Economic burden of herpes zoster among skilled nursing facility residents in the United States.

Publication ,  Journal Article
Ma, L; White, RR; Narayanan, S; Schmader, KE
Published in: J Am Med Dir Assoc
January 2012

OBJECTIVES: To evaluate health care resource use and direct medical costs attributable to herpes zoster (HZ) among elderly residents of skilled nursing facilities (SNF). METHODS: This was a retrospective matched cohort study using data from 300 SNF in the United States. A total of 404 patients with HZ were matched with 1616 patients with no documented HZ or post-herpetic neuralgia using propensity scores. The study period included a 1-month pre-index period and the 90-day acute/subacute phase following the HZ index date. Health care resource utilization was captured from the long term care minimum dataset (MDS) and SNF admission-discharge records. The direct medical costs consisted of the SNF net bed revenue and hospitalization cost. RESULTS: Over the 4-month study period, significantly more patients were hospitalized among the HZ (20.5%) than non-HZ cohort (14.4%). Both the numbers of hospitalization episodes and hospitalization days were greater for HZ than for non-HZ patients. An average additional 0.09 hospitalization episodes and 0.55 days of hospitalization were estimated in a multivariate model for patients in the HZ compared with the non-HZ cohort. The incremental direct medical costs, which are composed of the incremental medical costs incurred in the SNF, and the incremental costs attributable to hospitalization, were estimated between $1079 and $1673 for patients with HZ. CONCLUSION: In the SNF setting, the presence of HZ imposes significant health care resource utilization and direct medical costs.

Duke Scholars

Published In

J Am Med Dir Assoc

DOI

EISSN

1538-9375

Publication Date

January 2012

Volume

13

Issue

1

Start / End Page

54 / 59

Location

United States

Related Subject Headings

  • United States
  • Skilled Nursing Facilities
  • Middle Aged
  • Male
  • Humans
  • Herpes Zoster
  • Health Resources
  • Health Care Costs
  • Geriatrics
  • Female
 

Citation

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ICMJE
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Ma, L., White, R. R., Narayanan, S., & Schmader, K. E. (2012). Economic burden of herpes zoster among skilled nursing facility residents in the United States. J Am Med Dir Assoc, 13(1), 54–59. https://doi.org/10.1016/j.jamda.2010.03.015
Ma, Liyuan, Ronald R. White, Siva Narayanan, and Kenneth E. Schmader. “Economic burden of herpes zoster among skilled nursing facility residents in the United States.J Am Med Dir Assoc 13, no. 1 (January 2012): 54–59. https://doi.org/10.1016/j.jamda.2010.03.015.
Ma L, White RR, Narayanan S, Schmader KE. Economic burden of herpes zoster among skilled nursing facility residents in the United States. J Am Med Dir Assoc. 2012 Jan;13(1):54–9.
Ma, Liyuan, et al. “Economic burden of herpes zoster among skilled nursing facility residents in the United States.J Am Med Dir Assoc, vol. 13, no. 1, Jan. 2012, pp. 54–59. Pubmed, doi:10.1016/j.jamda.2010.03.015.
Ma L, White RR, Narayanan S, Schmader KE. Economic burden of herpes zoster among skilled nursing facility residents in the United States. J Am Med Dir Assoc. 2012 Jan;13(1):54–59.
Journal cover image

Published In

J Am Med Dir Assoc

DOI

EISSN

1538-9375

Publication Date

January 2012

Volume

13

Issue

1

Start / End Page

54 / 59

Location

United States

Related Subject Headings

  • United States
  • Skilled Nursing Facilities
  • Middle Aged
  • Male
  • Humans
  • Herpes Zoster
  • Health Resources
  • Health Care Costs
  • Geriatrics
  • Female