All-cause and respiratory-related use and costs (2014 US$) over 12 months from 2004 to 2013.
| Year | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2004, n = 648 | 2005, n = 676 | 2006, n = 738 | 2007, n = 857 | 2008, n = 1085 | 2009, n = 1346 | 2010, n = 1549 | 2011, n = 1775 | 2012, n = 1596 | 2013, n = 1575 | |
| All-cause | ||||||||||
| Inpatient admission | 274 (42.3) | 293 (43.3) | 280 (37.9) | 343 (40.0) | 427 (39.4) | 570 (42.3) | 588 (38.0) | 657 (37.0) | 569 (35.7) | 557 (35.4) |
| Mean costs, all patients | $18,471 ± $72,588 | $16,281 ± $66,328 | $12,566 ± $39,193 | $12,224 ± $40,376 | $16,596 ± $107,150 | $17,207 ± $60,702 | $14,286 ± $49,317 | $17,624 ± $58,275 | $15,407 ± $48,002 | $15,826 ± $56,978 |
| Median costs, all patients (IQR) | $0 ($0, $13,356) | $0 ($0, $12,977) | $0 ($0, $8025) | $0 ($0, $10,710) | $0 ($0, $11,102) | $0 ($0, $13,661) | $0 ($0, $10,790) | $0 ($0, $13,407) | $0 ($0, $12,709) | $0 ($0, $12,052) |
| Mean costs, patients with admission | $43,684 ± $106,686 | $37,564 ± $96,787 | $33,120 ± $58,091 | $30,541 ± $59,324 | $42,169 ± $167,732 | $40,634 ± $88,071 | $37,634 ± $74,388 | $47,615 ± $88,053 | $43,214 ± $72,571 | $44,751 ± $88,847 |
| Median costs, patients with admission (IQR) | $16,754 ($7166, $42,636) | $14,865 ($7370, $34,061) | $16,633 ($6336, $35,480) | $15,541 ($8164, $29,675) | $16,234 ($8333, $35,332) | $16,673 ($8715, $38,487) | $16,256 ($8112, $37,473) | $21,023 ($10,832, $44,440) | $21,266 ($11,357, $43,829) | $19,565 ($10,893, $41,241) |
| Emergency room visit | 271 (41.8) | 292 (43.2) | 298 (40.4) | 344 (40.1) | 442 (40.7) | 564 (41.9) | 654 (42.2) | 760 (42.8) | 657 (41.2) | 626 (39.7) |
| Mean costs, all patients | $518 ± $1500 | $453 ± $1446 | $451 ± $1493 | $357 ± $945 | $434 ± $1124 | $526 ± $1726 | $527 ± $1275 | $739 ± $2121 | $687 ± $2165 | $873 ± $4313 |
| Median costs, all patients (IQR) | $0 ($0, $397) | $0 ($0, $428) | $0 ($0, $358) | $0 ($0, $351) | $0 ($0, $395) | $0 ($0, $425) | $0 ($0, $498) | $0 ($0, $618) | $0 ($0, $518) | $0 ($0, $529) |
| Outpatient office visit | 643 (99.2) | 669 (99.0) | 736 (99.7) | 855 (99.8) | 1079 (99.4) | 1341 (99.6) | 1542 (99.5) | 1770 (99.7) | 1589 (99.6) | 1562 (99.2) |
| Mean costs, all patients | $1604 ± $1128 | $1954 ± $1313 | $1897 ± $1213 | $2038 ± $1469 | $2085 ± $1485 | $2092 ± $1514 | $2067 ± $1492 | $2091 ± $1407 | $2060 ± $1464 | $2005 ± $1356 |
| Median costs, all patients (IQR) | $1501 ($826, $2263) | $1695 ($1069, $2520) | $1651 ($1122, $2400) | $1779 ($1208, $2538) | $1760 ($1206, $2620) | $1796 ($1197, $2514) | $1764 ($1176, $2617) | $1782 ($1170, $2686) | $1787 ($1143, $2628) | $1714 ($1158, $2540) |
| Other outpatient service | 648 (100) | 676 (100) | 738 (100) | 857 (100) | 1084 (99.9) | 1346 (100) | 1547 (99.9) | 1775 (100) | 1595 (99.9) | 1575 (100) |
| Mean costs, all patients | $16,487 ± $25,471 | $16,477 ± $20,958 | $15,935 ± $21,290 | $15,758 ± $24,968 | $17,951 ± $28,311 | $18,081 ± $27,799 | $18,847 ± $32,346 | $20,008 ± $30,042 | $18,753 ± $30,327 | $19,499 ± $31,829 |
| Median costs, all patients (IQR) | $8481 ($4002, $18,366) | $9517 ($4626, $20,395) | $7892 ($3832, $19,047) | $8584 ($3795, $17,689) | $9203 ($4430, $21,127) | $9978 ($4621, $21,753) | $9417 ($4298, $22,430) | $10,563 ($4559, $23,822) | $9398 ($3964, $22,806) | $8870 ($3520, $23,540) |
| Pharmacy claim | 638 (98.5) | 667 (98.7) | 717 (97.2) | 833 (97.2) | 1057 (97.4) | 1304 (96.9) | 1504 (97.1) | 1726 (97.2) | 1566 (98.1) | 1537 (97.6) |
| Mean costs, all patients | $10,635 ± $12,481 | $12,726 ± $16,457 | $10,917 ± $12,521 | $10,563 ± $11,986 | $11,026 ± $14,374 | $10,568 ± $16,085 | $10,567 ± $16,130 | $11,387 ± $17,460 | $11,487 ± $18,321 | $12,775 ± $23,364 |
| Median costs, all patients (IQR) | $6994 ($2972, $13,495) | $ 7890 ($3934, $17,369) | $6602 ($3049, $14,198) | $6144 ($2647, $14,231) | $5961 ($2425, $14,078) | $5166 ($2022, $13,465) | $4962 ($1908, $13,537) | $5004 ($1792, $14,500) | $4768 ($1817, $14,136) | $5015 ($1700, $15,292) |
| Mean total costs, all patients | $47,716 ± $83,858 | $47,891 ± $85,916 | $41,766 ± $54,073 | $40,941 ± $55,682 | $48,091 ± $115,687 | $48,473 ± $74,617 | $46,294 ± $67,893 | $51,849 ± $77,125 | $48,392 ± $67,602 | $50,979 ± $77,696 |
| Median total costs, all patients (IQR) | $28,141 ($14,009, $49,095) | $31,109 ($16,997, $51,860) | $28,021 ($13,314, $49,879) | $28,698 ($14,279, $47,450) | $30,502 ($14,574, $50,967) | $30,507 ($15,234, $53,373) | $29,236 ($13,610, $54,014) | $31,491 ($14,892, $56,922) | $30,911 ($14,265, $55,703 | $31,914 ($13,563, $56,180 |
| Respiratory-related | ||||||||||
| Inpatient admission | 124 (19.1) | 132 (19.5) | 122 (16.5) | 156 (18.2) | 187 (17.2) | 229 (17.0) | 233 (15.0) | 283 (15.9) | 217 (13.6) | 227 (14.4) |
| Mean costs, all patients | $9041 ± $63,256 | $5119 ± $21,336 | $4491 ± $21,144 | $5138 ± $26,023 | $5456 ± $41,582 | $5029 ± $33,307 | $4804 ± $35,706 | $5279 ± $25,094 | $3699 ± $16,509 | $5513 ± $39,015 |
| Median costs, all patients (IQR) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) |
| Mean costs, patients with admission | $47,247 ± $138,664 | $26,216 ± $42,288 | $27,168 ± $45,847 | $28,224 ± $55,533 | $31,657 ± $96,141 | $30,615 ± $75,914 | $31,940 ± $87,387 | $33,110 ± $55,106 | $27,206 ± $37,014 | $38,248 ± $96,662 |
| Median costs, patients with admission (IQR) | $18,277 ($9221, $36,143) | $12,708 ($7072, $26,266) | $12,564 ($7400, $30,154) | $12,475 ($7843, $24,119) | $13,867 ($8195, $24,736) | $13,735 ($8315, $27,205) | $13,507 ($7832, $28,706) | $15,785 ($8340, $32,769) | $15,292 ($9572, $30,189) | $13,688 ($8887, $25,265) |
| Emergency room visit | 100 (15.4) | 101 (14.9) | 106 (14.4) | 117 (13.7) | 157 (14.5) | 229 (17.0) | 286 (18.5) | 319 (18.0) | 310 (19.4) | 273 (17.3) |
| Mean costs, all patients | $135 ± $871 | $85 ± $328 | $86 ± $360 | $79 ± $386 | $112 ± $548 | $108 ± $406 | $132 ± $534 | $182 ± $812 | $163 ± $666 | $187 ± $952 |
| Median costs, all patients (IQR) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) |
| Outpatient office visit | 577 (89.0) | 602 (89.1) | 677 (91.7) | 793 (92.5) | 1014 (93.5) | 1271 (94.4) | 1436 (92.7) | 1657 (93.4) | 1485 (93.0) | 1473 (93.5) |
| Mean costs, all patients | $369 ± $376 | $431 ± $406 | $436 ± $393 | $487 ± $452 | $506 ± $447 | $547 ± $526 | $571 ± $586 | $588 ± $615 | $573 ± $566 | $598 ± $547 |
| Median costs, all patients (IQR) | $258 ($76, $559) | $331 ($147, $574) | $358 ($162, $577) | $366 ($181, $649) | $391 ($202, $685) | $400 ($209, $709) | $419 ($217, $747) | $425 ($216, $779) | $421 ($219, $740) | $461 ($238, $789) |
| Other outpatient services | 622 (96.0) | 638 (94.4) | 700 (94.9) | 810 (94.5) | 1023 (94.3) | 1275 (94.7) | 1473 (95.1) | 1685 (94.9) | 1497 (93.8) | 1486 (94.3) |
| Mean costs, all patients | $3508 ± $6113 | $3485 ± $6226 | $3394 ± $7330 | $3191 ± $6571 | $3254 ± $6277 | $3849 ± $9414 | $3832 ± $8158 | $3918 ± $7854 | $3644 ± $8920 | $3890 ± $9764 |
| Median costs, all patients (IQR) | $1356 ($413, $4437) | $1333 ($390, $4089) | $1233 ($417, $3666) | $1287 ($382, $3694) | $1395 ($427, $3495) | $1466 ($392, $3972) | $1500 ($368, $4117) | $1534 ($404, $4243) | $1131 ($309, $3530) | $1201 ($339, $3615) |
| Antibiotic claima | 140 (21.6) | 133 (19.7) | 140 (19.0) | 159 (18.6) | 221 (20.4) | 292 (21.7) | 325 (21.0) | 383 (21.6) | 351 (22.0) | 333 (21.1) |
| Mean costs, all patients | $141 ± $1527 | $122 ± $1927 | $65 ± $539 | $50 ± $374 | $130 ± $2408 | $168 ± $2645 | $57 ± $367 | $74 ± $650 | $47 ± $393 | $20 ± $129 |
| Median costs, all patients (IQR) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) | $0 ($0, $0) |
| Respiratory therapy pharmacy claim | 445 (68.7) | 488 (72.2) | 515 (69.8) | 591 (69.0) | 714 (65.8) | 889 (66.0) | 987 (63.7) | 1,112 (62.6) | 1,025 (64.2) | 977 (62.0) |
| Mean costs, all patients | $814 ± $1648 | $1005 ± $2618 | $878 ± $2361 | $767 ± $1245 | $745 ± $1345 | $793 ± $1451 | $799 ± $2067 | $762 ± $1511 | $819 ± $2071 | $732 ± $1508 |
| Median costs, all patients (IQR) | $183 ($0, $1072) | $252 ($0, $1203) | $157 ($0, $1069) | $177 ($0, $1027) | $104 ($0, $894) | $87 ($0, $908) | $84 ($0, $861) | $74 ($0, $776) | $74 ($0, $813) | $53 ($0, $660) |
| Mean total costs, all patients | $14,008 ± $65,346 | $10,247 ± $24,716 | $9349 ± $25,482 | $9712 ± $29,980 | $10,204 ± $43,826 | $10,674 ± $36,642 | $10,195 ± $38,290 | $10,802 ± $28,513 | $8944 ± $21,021 | $10,939 ± $43,123 |
| Median total costs, all patients (IQR) | $3502 ($1198, $8574) | $3450 ($1225, $9764) | $2997 ($1153, $7505) | $2906 ($1222, $7926) | $2995 ($1232, $8055) | $3358 ($1153, $8661) | $3269 ($1162, $8151) | $3191 ($1202, $9289) | $2828 ($1022, $7844) | $2921 ($1074, $8358) |
Data are presented as mean ± SD or n (%) unless otherwise specified.
↵a Billed through outpatient medical claims or pharmacy claims. IQR: interquartile range.