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Smoking and hospital utilization.

J J Weinkam, W Rosenbaum, T D Sterling

    Social Science & Medicine (1982)
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Remaining lifetime hospital days (RLHD) do not consistently increase for ever smokers compared to never smokers. Older male and female ever smokers may even experience fewer future hospitalizations.

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    Area of Science:

    • Health Economics
    • Public Health
    • Epidemiology

    Background:

    • Remaining lifetime hospital days (RLHD) serve as a proxy for estimating healthcare cost differences between smokers and non-smokers.
    • Previous studies have explored the economic impact of smoking on healthcare utilization.

    Purpose of the Study:

    • To analyze the relationship between smoking status and estimated future hospital utilization.
    • To compare remaining lifetime hospital days for ever smokers versus never smokers.

    Main Methods:

    • Utilized data from the 1970 U.S. National Health Interview Survey (NHIS) for hospital usage by age.
    • Employed life table analysis based on mortality ratios from the American Cancer Society's Million Person Study to assess relative longevity.
    • Compared RLHD between ever smokers and never smokers across different age groups.

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    Main Results:

    • No consistent increase in RLHD was observed for ever smokers compared to never smokers.
    • Male ever smokers over 44 and female ever smokers over 38 are projected to have fewer RLHD than their never-smoking counterparts.
    • Findings align with previous research on Swiss medical costs.

    Conclusions:

    • Smoking status does not appear to be a consistent predictor of increased future hospital days.
    • Healthcare cost estimations based solely on smoking history may require age-specific considerations.
    • Further research into age-related healthcare utilization patterns for different smoking statuses is warranted.