Abstract

Amaç: Tip 1 diyabetli (T1D) çocuk ve adolesanların değişik nedenlerle yatarak tedavisinin maliyetini ortaya koymak Yöntem: Hastanenin elektronik hasta kayıtları 10 yıl geriye kadar (2009-2018) tarandı ve T1D olduğu doğrulanan olgular irdelendi. Maliyetler laboratuvar testleri, klinik girişimler, ilaçlar, tıbbi malzeme ve total olarak gruplandı ve Merkez Bankası yıl ortası verilerine göre Amerikan dolarına çevrildi. Tanımlayıcı istatistikler ve hasta verileriyle karşılaştırmalar sunuldu. Bulgular: Dörtyüz olgunun hastaneye ve Sosyal Güvenlik Kurumu’na ortalama maliyeti sırasıyla 268 ve 309 dolardı. En yüksek maliyet klinik girişim (% 49.84 ve 55.33), en düşük maliyet (% 0.43 ve 0.55) medikal malzemeyle ilgiliydi. Kan pH sı, HbA1c, tek ebeveyni olmak ve hastanede yatış süresi maliyeti anlamlı olarak etkilemekteydi (p<0.05). Sonuç: Türkiye’de çocuk T1D inin yatarak tedavisi ile ilgili ilk yayın olması nedeniyle çalışmanın kaynak dağılımı ve bakım etkinliğine katkı sağlayacağını düşünmekteyiz.

Keywords

• Maliyet
• Tip 1 diyabet
• çocuk
• yatarak tedavi
• Türkiye

Cost Of Inpatient Pediatric Type 1 Dıabetes Care In Turkey: Sıngle Center Experıence

Abstract

Objective: To explore the financial cost of type 1 diabetic (T1D) children and adolescents during inpatient management for various reasons. Method: Ten years of electronic hospital records (2009-2018) of the pediatric ward were screened retrospectively and hospitalizations with a confirmed diagnose of T1D were analyzed. Costs are grouped as laboratory tests, clinical interventions, drugs, medical supplies, and total costs before being converted to US dollars according to the mid-year index published by the Central Bank of Turkey. Descriptive statistics and comparisons against patient-specific characteristics are presented. Results: There were 400 eligible cases. Cost per case for the hospital and for the Social Security Institution (SSI) were $268 and $309 respectively. The clinical intervention was the largest (49.84 vs 55.33 %) and that of medical supplies was the smallest (0.43 vs 0.55 %) component of the cost. Blood pH, HbA1c, having a single parent, and the number of days in the ward were parameters influencing total cost significantly (p<0.05). Conclusion: The study offers the first data about pediatric T1D hospital stays in Turkey which are expected to help to reasonable resource distribution and efficiency of care.

Keywords

• cost
• type 1 diabetes
• pediatric
• inpatient
• Turkey

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