Modeling the length of hospital stay for COPD and pneumonia patients in Malaysia for 2019

Abstract

Respiratory diseases are among the leading causes of hospitalizations and deaths in Malaysia. Chronic respiratory illness will have an impact on every aspect of a patient's life, including physical and mental health, social life, finances, and employment. When a patient requires ongoing medical treatment, especially if it is for an extended period of time, the patient's economic burden increases. As a result, understanding the factors that influence the cost of respiratory disease treatment is critical, particularly in terms of financial implications. One of the factors influencing the cost of respiratory disease treatment is the length of hospitalization. As a result, the estimated duration of hospitalization is based on the duration of treatment of inpatients with pneumonia and chronic obstructive pulmonary disease (COPD) in all Malaysian Ministry of Health Malaysia hospitals in the five states with the highest number of hospital admissions, namely Selangor, Sabah, Sarawak, Johor, and Perak. From 1 January 2019 to 31 December 2019, 135 147 patients with COPD and pneumonia were included in the study. The negative binomial regression analysis indicated that age, gender, race, hospital discharge status, and state all had a significant effect on the length of hospitalization.