Highlights
- •From 2002-2014, HIV, tuberculosis (TB), and HIV-TB coinfection rates have declined among pregnant women.
- •Mean hospital length of stay is higher in HIV-TB coinfected mothers than those who are HIV- or TB-free.
- •Hospital costs are amplified for mothers with active TB or HIV-TB coinfection.
Background
We sought to determine hospital length of stay (LOS) and cost burden associated with
hospital admissions among pregnant women with HIV monoinfection, tuberculosis (TB)
monoinfection, or HIV-TB coinfection in the United States.
Methods
Analysis covered the period from 2002-2014 using data from the Nationwide Inpatient
Sample. Relevant ICD-9-CM codes were used to determine HIV and TB status. Costs associated
with hospitalization were calculated and adjusted to 2010 dollars using the medical
care component of the Consumer Price Index.
Results
We found modest annual average reduction in HIV, TB, and HIV-TB coinfection rates
over the study period. The mean LOS was lowest among mothers free of HIV or TB disease
and highest among those with HIV-TB coinfection. The average LOS among mothers diagnosed
with TB monoinfection was 60% higher than for those with HIV monoinfection. The cost
associated with pregnancy-related hospital admissions among mothers with HIV was approximately
30% higher than disease-free mothers, and the cost more than doubled among patients
with TB monoinfection or HIV-TB coinfection.
Conclusions
TB significantly increased hospital care cost among HIV-positive and HIV-negative
pregnant women.
Key Words
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Article Info
Publication History
Published online: November 03, 2017
Footnotes
Funding/support: Research funding support was provided by the U.S. Department of Health and Human Services , Health Resources and Services Administration for the Maternal and Child Health Pipeline Training Program: TSU-BCM Maternal and Child Health Student Training for Academic Readiness and Success (MCH STARS) Undergraduate Fellowship Program, Grant No: T16MC29831 .
Conflicts of interest: None to report.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
