J 2013

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

ŘÍHOVÁ, Barbora; Jiří PAŘENICA; Jiří JARKOVSKÝ; Roman MIKLÍK; Alexandra ŠULCOVÁ et al.

Základní údaje

Originální název

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

Vydání

Cor et Vasa, Wrocław, Elsevier Urban & Partner Sp. z o. o. 2013, 0010-8650

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Polsko

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/13:00066047

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Hospitalization cost; Heart failure; AHEAD

Příznaky

Recenzováno
Změněno: 14. 10. 2013 08:18, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

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%.

Návaznosti

GD102/09/H083, projekt VaV
Název: Informační technologie v biomedicínském inženýrství
Investor: Grantová agentura ČR, Informační technologie v biomedicínckém inženýrství

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