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Neuroepidemiology. 2012;38(4):233-6. doi: 10.1159/000336354. Epub 2012 Apr 27.

Trends in outcome and hospitalization charges of adult patients admitted with botulism in the United States.

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  • 1Department of Neurology, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA. souayani@umdnj.edu

Abstract

BACKGROUND:

To assess the impact of new therapeutic strategies on outcomes and hospitalization charges among adult patients with botulism in the United States.

METHODS:

We determined in-hospital outcomes and charges for patients with botulism hospitalized in 1993-1994 and compared them with those observed among patients hospitalized in 2006-2007. Mortality, length of stay, and hospitalization charges were calculated. Age, sex, race, ethnicity, and discharge status were also reported.

RESULTS:

There were 66 and 132 admissions of adult patients with botulism in 1993-1994 and 2006-2007, respectively. Men predominance was observed in 2006-2007 compared to women predominance during the 1993-1994 time period. There was no significant difference in the average length of stay and in-hospital mortality rate between the two groups studied. However, in the 2006-2007 group, there was a significant increase in the mean hospitalization charges (USD 126,092 ± 120,535 vs. USD 83,623 ± 82,084; p = 0.0107) and in the proportion of patients requiring mechanical ventilation when compared to 1993-1994 (34 vs. 13.6%; p < 0.0001).

CONCLUSION:

Botulism continues to be an infrequent cause of hospitalization, with a significant increase in the average hospitalization charges in 2006-2007 when compared to 1993-1994, despite a nonsignificant change in the mortality rate and average length of hospitalization.

Copyright © 2012 S. Karger AG, Basel.

[PubMed - indexed for MEDLINE]
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