Academic Journal

Assessment of influencing factors of hospitalization expenses for Crohn's disease patients: Based on LASSO and linear mixed model

التفاصيل البيبلوغرافية
العنوان: Assessment of influencing factors of hospitalization expenses for Crohn's disease patients: Based on LASSO and linear mixed model
المؤلفون: Li Wu, Zhijie Lv, Linjing Lai, Penglei Zhou
المصدر: Frontiers in Public Health, Vol 10 (2022)
بيانات النشر: Frontiers Media S.A., 2022.
سنة النشر: 2022
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: Crohn's disease, LASSO, linear mixed model, hospital expenses, influencing factors, Public aspects of medicine, RA1-1270
الوصف: AimsCrohn's disease (CD) is a global disease that is dramatically increasing. This study aimed to identify the primary drivers of hospitalization expenses for CD patients to provide guidance on the allocation and control of health care costs.MethodsThis study retrospectively collected the homepage data of the electronic medical records of CD patients in two tertiary hospitals in Zhejiang Province, China, from January 2016 to December 2021. The influencing factors of hospitalization expenses for CD were analyzed. A linear mixed model with least absolute shrinkage (LASSO-LMM) was used to develop a predictive model for hospitalization expenses for CD patients.ResultsA total of 4,437 CD patients were analyzed in this study. CD patients' age, length of hospital stay, admission route, comorbidities, and main treatment were found to be statistically significant variables for CD patients' hospitalization expenses. The AIC and BIC of LASSO-LMM model were 319.033 and 306.241, respectively. Patients who were older, had a longer hospital stay, and had comorbidities had higher hospitalization expenses. The hospitalization expenses of outpatients were lower than those of emergency patients. The weight of surgical treatment was the highest among three treatments (0.602).ConclusionsIdentifying and examining factors that influence hospitalization expenses for CD patients can help to control healthcare expenditures. Treatment mode was the most important impact on CD hospitalization expenses. Medical security departments can consider implement personalized and precise hospitalization expense compensation scheme base on LASSO-LMM prediction model in the future.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-2565
Relation: https://www.frontiersin.org/articles/10.3389/fpubh.2022.925616/full; https://doaj.org/toc/2296-2565
DOI: 10.3389/fpubh.2022.925616
URL الوصول: https://doaj.org/article/042dffe65af54199b26a61d0a48fc4a9
رقم الانضمام: edsdoj.042dffe65af54199b26a61d0a48fc4a9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22962565
DOI:10.3389/fpubh.2022.925616