Key result
Inpatient palliative care for decompensated HF is linked to ~116% higher costs versus cardiology clinics.
Why the study?
The study aimed to compare treatment, hospitality, and total costs between patients hospitalized for chronic decompensated heart failure monitored in a Palliative Care Center versus a Cardiology Clinic during a single hospitalization.
Does inpatient follow-up in the Palliative Care Center compared to the Cardiology Clinic affect costs and mortality in patients with chronic decompensated heart failure?
Observational (n=92)
Yes
Does inpatient follow-up in the Palliative Care Center compared to the Cardiology Clinic affect costs and mortality in patients with chronic decompensated heart failure?
Absolute Event Rate: 10314.2% vs 4785.82%
p-value: p=<0.05
Inpatient management of chronic decompensated heart failure in a palliative care center is associated with higher costs and mortality compared to a cardiology clinic, likely reflecting a sicker patient profile with more comorbidities.
Higher costs and mortality in palliative care for decompensated HF likely reflect sicker patients; leaves open optimal setting after comorbidity adjustment.
Introduction:The aim of this study is to compare the treatment costs, hospitality costs and total costs of the patients who were hospitalized for chronic decompensated heart failure and monitored by the Palliative Care Center and Cardiology Clinic during a one-time hospitalization.Methods: A two-center retrospective study was performed.A total of 92 patients were included in this study.Thirty-eight out of the 92 were inpatients with chronic decompensated heart failure, and were monitored in the Palliative Care Center, and the other 54 were dealing with chronic decompensated heart failure and were treated at the Cardiology Clinic.Results: At the end of the day, 42.10% of the patients hospitalized in the Palliative Care Center and 37.03% of the patients hospitalized in the Cardiology Clinic were women.The mean age of the patients hospitalized in the Palliative Care Center was 76.71 11.34 years; the mean age of the patients hospitalized in the Cardiology Clinic was 74.09 11.16 years.There was no statistical difference between the two groups.The duration of hospitalization for patients in the Palliative Care Center was longer than patients in the Cardiology Clinic.The cost to the patient was greater in the palliative care center in terms of the average cost of treatment per patient, average cost of hospitality management and average total cost per patient, which was statistically important (p <0.05).The mortality rate that was observed during hospitalization was lower in the Cardiology Clinic by a statistically important margin (p <0.05). Conclusion:The cost of treatment, the cost of hospitality and the total cost of hospitalization for chronic decompensated heart failure patients were higher in the Palliative Care Center than in the Cardiology Clinic.However, it was observed that the rate of mortalityand higer co-morbidities in the Palliative Care Center was higher than the Cardiology Clinic.
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Çakmak et al. (2023) conducted an observational in Chronic decompensated heart failure (n=92). Inpatient follow-up in the Palliative Care Center vs. Inpatient follow-up in the Cardiology Clinic was evaluated on Mean total cost per patient (TL) (p=<0.05). Inpatient follow-up in the Palliative Care Center for chronic decompensated heart failure resulted in a significantly higher mean total cost per patient (10314.20 TL) compared to the Cardiology Clinic (4785.82 TL).
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