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Most costly adverse drug-related hospitalizations: top 10 by type among Medicare patients

This was a study of national data from 2000 to 2008 of the types of medication that cause older people to be admitted to hospitals due to adverse drug reactions.  The database was the Healthcare Cost and Utilization Project’s Nationwide Inpatient Sample, and focuses on Medicare beneficiaries only.  The study looks at the overall cost to the nation as well as the average charge per patient.

Here are the top 10 classes of drugs and the average hospital charge per patient.

Principal drug-related diagnoses (2000-2008)

  1. $20,918  Central nervous system stimulants (for example, opiate antagonists)
  2. $20,279  Analgesics, antipyretics, and antirheumatics
  3. $19,287  Drug-induced hemorrhagic gastritis
  4. $19,026  Neuropathy due to drugs
  5. $18,296  Systemic agents
  6. $17,417  Allergic dermatitis
  7. $16,884  Sedatives and hypnotics
  8. $16,796  Muscle relaxants and related
  9. $16,444  Agents that affect blood constituents
  10. $16,019  Water, mineral, and uric acid metabolism drugs

Source: Shamliyan, T.A., and Kane, R.L. (2016, June). Drug-related harms in hospitalized Medicare beneficiaries: Results from the Healthcare Cost and Utilization Project, 2000-2008. Journal of Patient Safety, 12(2), 89-107.  Click here to go to publisher’s website: http://journals.lww.com/journalpatientsafety/Pages/default.aspx   Posted by AHA Resource Center (312) 422-2050, rc@aha.org

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