Icd 10 insomnia table1/26/2024 After adjustment for confounders, insomnia was associated with higher rates of outpatient visits, hospitalizations, and fills for corticosteroids and/or antibiotics, longer hospital length of stay, and $10,344 higher hospitalization costs in the 12 months after index date. COPD-related healthcare utilization variables included number of prescription fills of corticosteroids and/or antibiotics and outpatient visits and hospitalizations with a primary diagnosis of COPD. Our primary outcomes were 1-year healthcare utilization and costs related to outpatient visits and hospitalizations after index date. The index date for those without insomnia was set as the COPD index date. The index date for insomnia was the first date when dual criteria for COPD and insomnia was met. Insomnia was operationalized as having an insomnia diagnosis based on International Classification of Disease codes or having a prescription of > 30 doses of a sedative-hypnotic medication in a given fiscal year. A retrospective cohort of veterans with COPD were identified from national Veterans Affairs administration data for fiscal years 2012–2017. In this study, we investigated the associations between insomnia and healthcare utilization and costs in patients with COPD. Insomnia has been linked to adverse chronic obstructive pulmonary disease (COPD) outcomes including exacerbations, yet its impact on COPD-related healthcare utilization and costs is unknown.
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