Cardiology department hospitalization costs in patients with acute heart failure vary according to the etiology of the acute heart failure: Data from the AHEAD Core registry 2005–2009
| Authors | |
|---|---|
| Year of publication | 2013 |
| Type | Article in Periodical |
| Magazine / Source | Cor et Vasa |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.1016/j.crvasa.2012.10.004 |
| Field | Cardiovascular diseases incl. cardiosurgery |
| Keywords | Hospitalization cost; Heart failure; AHEAD |
| Attached files | |
| Description | Background: To assess the distribution of costs associated with Cardiology Unit hospitalization due to acute heart failure (AHF) and evaluate, from the perspective of the healthcare payer, the heterogeneity of resources use according to AHF etiology in patients from 2005 to 2009. Methods: The type and etiology of AHF was determined upon hospital admission. The cost of in-patient care was based on the individual hospital account of each patient (1759 patients in total; 58.7% male; mean age 71 years). Results: The median hospital stay was 7 days and the mean total cost of in-patient care was h3364. A Coronary Care Unit (CCU) stay was recorded in 67.4% patients (median 3 days). Significantly higher costs were found in de-novo AHF patients (mean h3678) with a greater need for CCU care, a longer stay in the CCU and a greater need for intervention (particularly that of percutaneous coronary intervention (PCI)), than in patients with acute decompensation of chronic heart failure (mean cost h2878; po0.001). Acute coronary syndrome was a major precipitating factor, with the highest costs (h4429) resulting from having received PCI (63.3% of patients) and CCU admission (91.7% of patients). Variations in length of stay according to AHF etiology were minor (median, 6–8 days). In-hospital mortality was 15.0%. |
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