Abstract

Objective

Coughing is a common symptom and responsible for a large number of healthcare visits. This study aimed to characterize healthcare resource use and associated financial costs in people with acute or chronic cough.

Methods

A retrospective cohort study using routine data from the UK National Health Service. Adults (≥18 years) were selected if they had a cough record between 1 March 2014 and 28 February 2015 and were classified by duration.

Results

A cohort of 150,231 patients was identified, of whom 12,513 (8.3%) had chronic cough, 38,599 (25.7%) had an acute cough with more than one cough event, and 99,119 (66.0%) had acute cough with one event in the study year. Resource use and combined costs of all healthcare contacts differed between cough groups. The healthcare cost per person-year in patients with a single record of acute cough was £739; for those with chronic cough, the cost was £3,663.

Conclusions

Patients with cough represented a substantial financial burden to the NHS. It was difficult to discern the specific portion of treatment associated with cough itself. However, people with chronic cough were associated with substantially increased healthcare use and costs than were those with acute cough.

中文翻译：

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治疗急性和慢性咳嗽患者的经济负担

摘要

客观的

咳嗽是一种常见的症状，并导致大量的医疗保健就诊。本研究旨在描述急性或慢性咳嗽患者的医疗资源使用情况和相关财务成本。

方法

一项回顾性队列研究，使用来自英国国家卫生服务局的常规数据。如果成人（≥18 岁）在 2014 年 3 月 1 日至 2015 年 2 月 28 日期间有咳嗽记录，则被选中，并按持续时间分类。

结果

确定了 150,231 名患者的队列，其中 12,513 名（8.3%）患有慢性咳嗽，38,599 名（25.7%）患有急性咳嗽并伴有不止一次咳嗽事件，99,119 名（66.0%）患有急性咳嗽并伴有 1 次咳嗽事件年。所有医疗保健接触者的资源使用和综合成本在咳嗽组之间存在差异。有单一急性咳嗽记录的患者每人每年的医疗保健费用为 739 英镑；对于慢性咳嗽患者，费用为 3,663 英镑。

结论

咳嗽患者给 NHS 带来了巨大的经济负担。很难辨别与咳嗽本身相关的具体治疗部分。然而，与急性咳嗽患者相比，慢性咳嗽患者的医疗保健使用和成本大幅增加。