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Mortality, length of hospitalization, and costs associated with invasive fungal infections in high-risk patients.

Publication ,  Journal Article
Menzin, J; Meyers, JL; Friedman, M; Perfect, JR; Langston, AA; Danna, RP; Papadopoulos, G
Published in: Am J Health Syst Pharm
October 1, 2009

PURPOSE: The mortality, length of hospitalization, and costs associated with invasive fungal infections (IFIs) in hospitalized patients were studied. METHODS: This retrospective database study used data from the 2004 Healthcare Cost and Utilization Project Nationwide In-patient Sample. Patients were selected for inclusion based on diagnostic codes corresponding to an IFI. A control group was matched to the IFI group based on high-risk conditions (i.e., cancer, infection with human immunodeficiency virus, chronic obstructive pulmonary disease, diabetes mellitus, and solid-organ, hematopoietic stem cell, or bone marrow transplant), age, sex, and hospital region and teaching status. Excess mortality, length of hospital stay, and costs were estimated as the differences between the IFI and control groups. RESULTS: A total of 11,881 patients were identified with a discharge diagnosis of an IFI who could be matched to a control. Frequent infections included candidiasis (40.2%), other mycoses (36.3%), and aspergillosis (16.4%). Patients with IFIs had a significantly higher mortality rate (15% versus 5%), mean +/- S.E. length of stay (18.7 +/- 0.4 days versus 7.3 +/- 0.1 days), and mean +/- S.E. costs ($44,726 +/- $1,255 versus $15,445 +/- $404) (p < 0.001 for all comparisons) than did patients without IFIs. The burden of IFIs varied by high-risk condition (highest for transplant recipients and patients with cancer) and type of infection (highest for candidiasis, zygomycosis, and aspergillosis). CONCLUSION: Examination of a large database showed that, compared with high-risk patients without IFIs, those with IFIs had higher mortality, a longer hospital stay, and higher costs associated with their hospitalization.

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Published In

Am J Health Syst Pharm

DOI

EISSN

1535-2900

Publication Date

October 1, 2009

Volume

66

Issue

19

Start / End Page

1711 / 1717

Location

England

Related Subject Headings

  • Young Adult
  • Socioeconomic Factors
  • Sex Factors
  • Risk Factors
  • Retrospective Studies
  • Pharmacology & Pharmacy
  • Mycoses
  • Middle Aged
  • Male
  • Length of Stay
 

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Menzin, J., Meyers, J. L., Friedman, M., Perfect, J. R., Langston, A. A., Danna, R. P., & Papadopoulos, G. (2009). Mortality, length of hospitalization, and costs associated with invasive fungal infections in high-risk patients. Am J Health Syst Pharm, 66(19), 1711–1717. https://doi.org/10.2146/ajhp080325
Menzin, Joseph, Juliana L. Meyers, Mark Friedman, John R. Perfect, Amelia A. Langston, Robert P. Danna, and George Papadopoulos. “Mortality, length of hospitalization, and costs associated with invasive fungal infections in high-risk patients.Am J Health Syst Pharm 66, no. 19 (October 1, 2009): 1711–17. https://doi.org/10.2146/ajhp080325.
Menzin J, Meyers JL, Friedman M, Perfect JR, Langston AA, Danna RP, et al. Mortality, length of hospitalization, and costs associated with invasive fungal infections in high-risk patients. Am J Health Syst Pharm. 2009 Oct 1;66(19):1711–7.
Menzin, Joseph, et al. “Mortality, length of hospitalization, and costs associated with invasive fungal infections in high-risk patients.Am J Health Syst Pharm, vol. 66, no. 19, Oct. 2009, pp. 1711–17. Pubmed, doi:10.2146/ajhp080325.
Menzin J, Meyers JL, Friedman M, Perfect JR, Langston AA, Danna RP, Papadopoulos G. Mortality, length of hospitalization, and costs associated with invasive fungal infections in high-risk patients. Am J Health Syst Pharm. 2009 Oct 1;66(19):1711–1717.
Journal cover image

Published In

Am J Health Syst Pharm

DOI

EISSN

1535-2900

Publication Date

October 1, 2009

Volume

66

Issue

19

Start / End Page

1711 / 1717

Location

England

Related Subject Headings

  • Young Adult
  • Socioeconomic Factors
  • Sex Factors
  • Risk Factors
  • Retrospective Studies
  • Pharmacology & Pharmacy
  • Mycoses
  • Middle Aged
  • Male
  • Length of Stay