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Cost of hospital care for the older adults according to their level of frailty. A cohort study in the Lazio region, Italy

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Listed:
  • Giuseppe Liotta
  • Francesco Gilardi
  • Stefano Orlando
  • Gennaro Rocco
  • Maria Grazia Proietti
  • Federica Asta
  • Manuela De Sario
  • Paola Michelozzi
  • Sandro Mancinelli
  • Leonardo Palombi
  • Maria Cristina Marazzi
  • Paola Scarcella

Abstract

Background: The increasing burden of chronic diseases associated with the ageing of the European population constitutes one of the main challenges for the welfare systems in developed western countries, especially through its impact on the use of hospital services and the cost of care. This study aims at evaluating the cost of hospital care for older adults living in the Lazio Region, Italy, according to their level of frailty. Methods: Since 2014 a longitudinal randomized cohort study has been carried out on a sample consisting of 1280 older adults aged over 64 years resident in the Lazio region (Italy), with their being evaluated for multidimensional frailty. Accesses to Hospital Services (acute care and Day Hospital care admissions and Emergency Room accesses) during the first year after enrolment, as well as the related costs have been recorded through a regional database. Costs have been stratified on the basis of the state of frailty. Results: The analysis of hospital services and costs highlights the role played by pre-frail individuals who generated 49.3% of the hospital care cumulative costs. Hospital Admission (HA) costs arising from robust and pre-frail subjects are 70% of the total HA costs. Pre-frail individuals also showed the highest average HA cost per person/year (7062.89 Euros). The main determinant of the highest HA costs was given by the number of HAs during the follow-up (multivariate linear regression, ß coefficient = 0.319; p

Suggested Citation

  • Giuseppe Liotta & Francesco Gilardi & Stefano Orlando & Gennaro Rocco & Maria Grazia Proietti & Federica Asta & Manuela De Sario & Paola Michelozzi & Sandro Mancinelli & Leonardo Palombi & Maria Crist, 2019. "Cost of hospital care for the older adults according to their level of frailty. A cohort study in the Lazio region, Italy," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-13, June.
    • Handle: RePEc:plo:pone00:0217829
    DOI: 10.1371/journal.pone.0217829
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    References listed on IDEAS

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