<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_1905-7415.1000.518_s_001_w2aab3b7b3b1b6b1aab1c17b1Aa"><h3>Background</h3><p>The burden of acute diarrheal diseases is a major problem in Thailand. The mortality rate is 0.5% of admissions in the 2010 Nationwide Hospital Admission Data. Data from the Global Burden of Diseases, Injuries, and Risk Factors Study in 2010 showed that the mortality rate of diarrheal disease was 2.65% of all deaths globally.</p></sec><sec id="j_1905-7415.1000.518_s_002_w2aab3b7b3b1b6b1aab1c17b2Aa"><h3>Objectives</h3><p>To examine the burden of adult acute diarrhea in Thailand using nationwide data in 2010.</p></sec><sec id="j_1905-7415.1000.518_s_003_w2aab3b7b3b1b6b1aab1c17b3Aa"><h3>Methods</h3><p>There were 820,735 admissions of patients aged ≥19 years with a diagnosis of digestive diseases (ICD10-K00-K93) and acute diarrhea (ICD10-A09). About one-third of admissions (214,722 admissions; 26%) were for acute diarrhea with a mean patient age 51.5 (SD 15.3) years.</p></sec><sec id="j_1905-7415.1000.518_s_004_w2aab3b7b3b1b6b1aab1c17b4Aa"><h3>Results</h3><p>Approximately two-thirds of the 214,722 admissions were for acute diarrhea (59%) in patients 19–60 years old, and the remaining 41% were elderly patients >60 years old. Approximately 0.5% of admitted patients (1,048 patients) died. The complications during hospitalization were septicemia (2.2%), mechanical ventilation (0.6%), and renal failure requiring hemodialysis (0.14%). The predictors of mortality were patients >60 years old at admission, male sex, and the presence of complications. The total cost for management of acute diarrhea in Thailand in 2010 was 905,784,298 baht or 30,035,807 USD for 214,722 admissions.</p></sec><sec id="j_1905-7415.1000.518_s_005_w2aab3b7b3b1b6b1aab1c17b5Aa"><h3>Conclusions</h3><p>Acute diarrheal diseases accounted for 26% of the digestive diseases in the 2010 Thai nationwide data with high expenditure.</p></sec></abstract>

BackgroundThe burden of acute diarrheal diseases is a major problem in Thailand. The mortality rate is 0.5% of admissions in the 2010 Nationwide Hospital Admission Data. Data from the Global Burden of Diseases, Injuries, and Risk Factors Study in 2010 showed that the mortality rate of diarrheal disease was 2.65% of all deaths globally.ObjectivesTo examine the burden of adult acute diarrhea in Thailand using nationwide data in 2010.MethodsThere were 820,735 admissions of patients aged ≥19 years with a diagnosis of digestive diseases (ICD10-K00-K93) and acute diarrhea (ICD10-A09). About one-third of admissions (214,722 admissions; 26%) were for acute diarrhea with a mean patient age 51.5 (SD 15.3) years.ResultsApproximately two-thirds of the 214,722 admissions were for acute diarrhea (59%) in patients 19–60 years old, and the remaining 41% were elderly patients >60 years old. Approximately 0.5% of admitted patients (1,048 patients) died. The complications during hospitalization were septicemia (2.2%), mechanical ventilation (0.6%), and renal failure requiring hemodialysis (0.14%). The predictors of mortality were patients >60 years old at admission, male sex, and the presence of complications. The total cost for management of acute diarrhea in Thailand in 2010 was 905,784,298 baht or 30,035,807 USD for 214,722 admissions.ConclusionsAcute diarrheal diseases accounted for 26% of the digestive diseases in the 2010 Thai nationwide data with high expenditure.

Acute diarrhea, a significant burden to Thailand’s universal health care system: a nationwide database

Chulalongkorn University and King Chulalongkorn Memorial Hospital

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

BackgroundThe burden of acute diarrheal diseases is a major problem in Thailand. The mortality rate is 0.5% of admissions in the 2010 Nationwide Hospital...

Acute diarrhea, a significant burden to Thailand’s universal health care system: a nationwide database

Article Category: Original article

Published Online: Mar 31, 2017

Page range: s23 - s30

DOI: https://doi.org/10.5372/1905-7415.1000.518

Keywords
Acute diarrhea, burden, database, Thailand, universal health care system

© 2016 Sombat Treeprasertsuk, Kaewjai Thepsuthammarat, Bubpha Kitsahawong, Kamthorn Phaosawasdi

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Acute diarrhea, a significant burden to Thailand’s universal health care system: a nationwide database

Article Category: Original article

Published Online: Mar 31, 2017

Page range: s23 - s30

DOI: https://doi.org/10.5372/1905-7415.1000.518

KeywordsAcute diarrhea, burden, database, Thailand, universal health care system

© 2016 Sombat Treeprasertsuk, Kaewjai Thepsuthammarat, Bubpha Kitsahawong, Kamthorn Phaosawasdi

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Acute diarrhea, burden, database, Thailand, universal health care system