COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand.
<h4>Aims</h4>This study aims to compare the trends in the quality of hospital care for WHO's three disease groups pre-, during, and post-COVID-19 pandemic peak in Thailand.<h4>Methods</h4>The study utilized existing hospital admission data from the Thai Health Informatio...
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| Format: | Article |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0310090 |
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| author | Satiti Palupi Kyaw Ko Ko Htet Vorthunju Nakhonsri Chumpol Ngamphiw Peerapat Khunkham Sanya Vasoppakarn Narumol Atthakul Sissades Tongsima Chantisa Keeratipusana Watcharapot Janpoung Virasakdi Chongsuvivatwong |
| author_facet | Satiti Palupi Kyaw Ko Ko Htet Vorthunju Nakhonsri Chumpol Ngamphiw Peerapat Khunkham Sanya Vasoppakarn Narumol Atthakul Sissades Tongsima Chantisa Keeratipusana Watcharapot Janpoung Virasakdi Chongsuvivatwong |
| author_sort | Satiti Palupi |
| collection | DOAJ |
| description | <h4>Aims</h4>This study aims to compare the trends in the quality of hospital care for WHO's three disease groups pre-, during, and post-COVID-19 pandemic peak in Thailand.<h4>Methods</h4>The study utilized existing hospital admission data from the Thai Health Information Portal (THIP) database, covering the period from 2017 to 2022. We categorized WHO's three disease groups: poverty-related, noncommunicable, and injury groups using the International Classification of Diseases (ICD)-10 of initial admission of patients, and we analyzed three major outcomes: prolonged (≥ 90th percentile) length of stay (LOS), hospital mortality, and readmission pre-, during, and post-COVID-19 pandemic peak. Relative weight (RW) of hospital reimbursements was used as a surrogate measure of the severity of the diseases.<h4>Results</h4>The average prolonged LOS of patients with poverty disease pre-, during, and post-COVID-19 pandemic peak were 7.1%, 10.8%, 9.05%, respectively. Respective hospital mortality rates were 5.02%, 6.22%, 6.05% and readmission were 6.98/1,000, 6.16/1,000, 5.43/1,000, respectively. For non-communicable diseases, the respective proportions in the prolonged LOS were 9.0%, 9.12%, and 7.58%, with respective hospital mortality being 10.65%, 8.86%, 6.62%, and readmissions were 17.79/1,000, 13.94/1,000, 13.19/1,000, respectively. The respective prolonged LOS for injuries were 8.75%, 8.55%, 8.25%. Meanwhile, respective hospital mortality were 4.95%, 4.05%, 3.20%, and readmissions were 1.99/1,000, 1.60/1,000, 1.48/1,000, respectively. The RW analysis reveals diverse impacts on resource utilization and costs. Most poverty-related and noncommunicable diseases indicate increased resource requirements and associated costs, except for HIV/AIDS and diabetes mellitus, showing mixed trends. In injuries, road traffic accidents consistently decrease resource needs and costs, but suicide cases show mixed trends.<h4>Conclusions</h4>COVID-19 had a more serious impact, especially prolonged LOS and hospital mortality for poverty-related diseases more than noncommunicable diseases and injuries. |
| format | Article |
| id | doaj-art-6f063fafc60244919cc66b97a9fa7854 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-6f063fafc60244919cc66b97a9fa78542025-01-08T05:33:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01199e031009010.1371/journal.pone.0310090COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand.Satiti PalupiKyaw Ko Ko HtetVorthunju NakhonsriChumpol NgamphiwPeerapat KhunkhamSanya VasoppakarnNarumol AtthakulSissades TongsimaChantisa KeeratipusanaWatcharapot JanpoungVirasakdi Chongsuvivatwong<h4>Aims</h4>This study aims to compare the trends in the quality of hospital care for WHO's three disease groups pre-, during, and post-COVID-19 pandemic peak in Thailand.<h4>Methods</h4>The study utilized existing hospital admission data from the Thai Health Information Portal (THIP) database, covering the period from 2017 to 2022. We categorized WHO's three disease groups: poverty-related, noncommunicable, and injury groups using the International Classification of Diseases (ICD)-10 of initial admission of patients, and we analyzed three major outcomes: prolonged (≥ 90th percentile) length of stay (LOS), hospital mortality, and readmission pre-, during, and post-COVID-19 pandemic peak. Relative weight (RW) of hospital reimbursements was used as a surrogate measure of the severity of the diseases.<h4>Results</h4>The average prolonged LOS of patients with poverty disease pre-, during, and post-COVID-19 pandemic peak were 7.1%, 10.8%, 9.05%, respectively. Respective hospital mortality rates were 5.02%, 6.22%, 6.05% and readmission were 6.98/1,000, 6.16/1,000, 5.43/1,000, respectively. For non-communicable diseases, the respective proportions in the prolonged LOS were 9.0%, 9.12%, and 7.58%, with respective hospital mortality being 10.65%, 8.86%, 6.62%, and readmissions were 17.79/1,000, 13.94/1,000, 13.19/1,000, respectively. The respective prolonged LOS for injuries were 8.75%, 8.55%, 8.25%. Meanwhile, respective hospital mortality were 4.95%, 4.05%, 3.20%, and readmissions were 1.99/1,000, 1.60/1,000, 1.48/1,000, respectively. The RW analysis reveals diverse impacts on resource utilization and costs. Most poverty-related and noncommunicable diseases indicate increased resource requirements and associated costs, except for HIV/AIDS and diabetes mellitus, showing mixed trends. In injuries, road traffic accidents consistently decrease resource needs and costs, but suicide cases show mixed trends.<h4>Conclusions</h4>COVID-19 had a more serious impact, especially prolonged LOS and hospital mortality for poverty-related diseases more than noncommunicable diseases and injuries.https://doi.org/10.1371/journal.pone.0310090 |
| spellingShingle | Satiti Palupi Kyaw Ko Ko Htet Vorthunju Nakhonsri Chumpol Ngamphiw Peerapat Khunkham Sanya Vasoppakarn Narumol Atthakul Sissades Tongsima Chantisa Keeratipusana Watcharapot Janpoung Virasakdi Chongsuvivatwong COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand. PLoS ONE |
| title | COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand. |
| title_full | COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand. |
| title_fullStr | COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand. |
| title_full_unstemmed | COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand. |
| title_short | COVID-19's impact on hospital stays, mortality, and readmissions for poverty-related diseases, noncommunicable diseases, and injury groups in Thailand. |
| title_sort | covid 19 s impact on hospital stays mortality and readmissions for poverty related diseases noncommunicable diseases and injury groups in thailand |
| url | https://doi.org/10.1371/journal.pone.0310090 |
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