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Article: Does smoking affect hospital use before death? A comparison of ever- and never-smokers in the last years of life

TitleDoes smoking affect hospital use before death? A comparison of ever- and never-smokers in the last years of life
Authors
Issue Date2008
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.lww-medicalcare.com
Citation
Medical Care, 2008, v. 46 n. 6, p. 614-619 How to Cite?
AbstractBACKGROUND: Given the apparent greater use of health care services by smokers and predictions of higher costs for a never-smoking population, we aimed in this study to determine whether the acute hospital costs in the last years of life of never- and ever-smokers differed before death using a database of the decedents in 1 year in Hong Kong. OBJECTIVES: To compare the acute hospital use of ever- and never-smoker decedents. METHODS: The data on cause of death, personal characteristics, and public hospital discharges were linked for all decedents in 1998 in Hong Kong. The incidence rate ratio was used to compare, for ever- and never-smokers, the number of days spent in an acute hospital over the prior 7 years. Analyses were done using specific and all cause mortality, adjusted for sex, lifestyle factors, and life expectancy. RESULTS: Compared with never-smokers who died of the same condition, ever-smokers who died of chronic obstructive pulmonary disease used 28% more acute hospital bed days and those dying of smoking-related cancer 9% fewer. These differences cancelled out over the case-mix of deaths with no net difference in acute bed day use by smoking status for all-cause mortality. CONCLUSIONS: There was no difference in acute hospital bed days in the last years of life of ever- and never-smokers but some differences by cause of death. Reducing smoking in this population will not increase acute hospital use. © 2008 Lippincott Williams & Wilkins, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/151650
ISSN
2015 Impact Factor: 3.081
2015 SCImago Journal Rankings: 2.004
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMcghee, SMen_US
dc.contributor.authorSchooling, CMen_US
dc.contributor.authorWong, LCen_US
dc.contributor.authorLeung, GMen_US
dc.contributor.authorHo, LMen_US
dc.contributor.authorThomas, GNen_US
dc.contributor.authorHo, DSYen_US
dc.contributor.authorLam, THen_US
dc.contributor.authorHedley, AJen_US
dc.date.accessioned2012-06-26T06:25:56Z-
dc.date.available2012-06-26T06:25:56Z-
dc.date.issued2008en_US
dc.identifier.citationMedical Care, 2008, v. 46 n. 6, p. 614-619en_US
dc.identifier.issn0025-7079en_US
dc.identifier.urihttp://hdl.handle.net/10722/151650-
dc.description.abstractBACKGROUND: Given the apparent greater use of health care services by smokers and predictions of higher costs for a never-smoking population, we aimed in this study to determine whether the acute hospital costs in the last years of life of never- and ever-smokers differed before death using a database of the decedents in 1 year in Hong Kong. OBJECTIVES: To compare the acute hospital use of ever- and never-smoker decedents. METHODS: The data on cause of death, personal characteristics, and public hospital discharges were linked for all decedents in 1998 in Hong Kong. The incidence rate ratio was used to compare, for ever- and never-smokers, the number of days spent in an acute hospital over the prior 7 years. Analyses were done using specific and all cause mortality, adjusted for sex, lifestyle factors, and life expectancy. RESULTS: Compared with never-smokers who died of the same condition, ever-smokers who died of chronic obstructive pulmonary disease used 28% more acute hospital bed days and those dying of smoking-related cancer 9% fewer. These differences cancelled out over the case-mix of deaths with no net difference in acute bed day use by smoking status for all-cause mortality. CONCLUSIONS: There was no difference in acute hospital bed days in the last years of life of ever- and never-smokers but some differences by cause of death. Reducing smoking in this population will not increase acute hospital use. © 2008 Lippincott Williams & Wilkins, Inc.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.lww-medicalcare.comen_US
dc.relation.ispartofMedical Careen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHospitals - Utilizationen_US
dc.subject.meshHumansen_US
dc.subject.meshLength Of Stay - Statistics & Numerical Dataen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRegistriesen_US
dc.subject.meshSmoking - Epidemiologyen_US
dc.subject.meshTerminally Illen_US
dc.titleDoes smoking affect hospital use before death? A comparison of ever- and never-smokers in the last years of lifeen_US
dc.typeArticleen_US
dc.identifier.emailMcGhee, SM:smmcghee@hkucc.hku.hken_US
dc.identifier.emailSchooling, CM:cms1@hkucc.hku.hken_US
dc.identifier.emailLeung, GM:gmleung@hku.hken_US
dc.identifier.emailHo, LM:lmho@hkucc.hku.hken_US
dc.identifier.emailHo, DSY:syho@hku.hken_US
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_US
dc.identifier.emailHedley, AJ:hrmrajh@hkucc.hku.hken_US
dc.identifier.authorityMcGhee, SM=rp00393en_US
dc.identifier.authoritySchooling, CM=rp00504en_US
dc.identifier.authorityLeung, GM=rp00460en_US
dc.identifier.authorityHo, LM=rp00360en_US
dc.identifier.authorityHo, DSY=rp00427en_US
dc.identifier.authorityLam, TH=rp00326en_US
dc.identifier.authorityHedley, AJ=rp00357en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/MLR.0b013e3181618ef2en_US
dc.identifier.pmid18520316-
dc.identifier.scopuseid_2-s2.0-44449170988en_US
dc.identifier.hkuros142854-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-44449170988&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume46en_US
dc.identifier.issue6en_US
dc.identifier.spage614en_US
dc.identifier.epage619en_US
dc.identifier.eissn1537-1948-
dc.identifier.isiWOS:000256507000009-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridMcGhee, SM=7003288588en_US
dc.identifier.scopusauthoridSchooling, CM=12808565000en_US
dc.identifier.scopusauthoridWong, LC=12789440200en_US
dc.identifier.scopusauthoridLeung, GM=7007159841en_US
dc.identifier.scopusauthoridHo, LM=7402955625en_US
dc.identifier.scopusauthoridThomas, GN=35465269900en_US
dc.identifier.scopusauthoridHo, DSY=7403716884en_US
dc.identifier.scopusauthoridLam, TH=7202522876en_US
dc.identifier.scopusauthoridHedley, AJ=7102584095en_US

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