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

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Acute heart failure (n=1759). Intervention: De-novo acute heart failure vs. Acute decompensation of chronic heart failure. Primary outcome: Mean total in-hospital costs (p=<0.001).

Barbora Říhová; Jiří Pařenica; Jiří Jarkovský; Roman Miklík; Alexandra Šulcová; Simona Littnerová; Marián Felšőci; Petr Kala; Jindřich Špinar

doi:10.1016/j.crvasa.2012.10.004

November 5, 2012Cor et VasaOpen Access

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

View Full Paper

Ask AI

Bookmark

Share

Key result

De-novo acute heart failure was associated with significantly higher mean in-hospital costs (€3678) compared to acute decompensation of chronic heart failure (€2878), largely driven by a greater need for intensive care and interventions.

Key Points

This research aims to evaluate hospitalization costs associated with acute heart failure, focusing on variations based on etiology.
Analyzed hospitalization data from the AHEAD Core registry for 1,759 patients between 2005 and 2009.
Established the etiology of acute heart failure upon patient admission and assessed individual hospitalization costs.
Evaluated the incidence of interventional procedures and length of stay in relation to acute heart failure types.
Median hospitalization cost was €3,364, with de novo acute heart failure incurring significantly higher costs (€3,678) than acute exacerbation of chronic heart failure (€2,878; p < 0.001).
Acute coronary syndromes were most common, associated with the highest average costs (€4,429), and frequent PCI procedures (63.3% of patients).
15.0% of patients experienced mortality during hospitalization.

Study Design

Type

Observational (n=1,759)

Multicenter

No

Structured PICO

P

Population

1,759 patients (mean age 71 years, 41.3% female) hospitalized with acute heart failure at a single center in the Czech Republic between 2005 and 2009.

O

Outcome

Hospitalization costs from the perspective of the healthcare payer

Main Result

Absolute Event Rate: 3678% vs 2878%

p-value: p=<0.001

Hospitalization costs for acute heart failure are significantly higher for de novo presentations compared to acute decompensations of chronic heart failure, largely driven by the need for intensive care and interventional procedures.

Limitations

Data are from a single hospital with CathLab service, which could lead to an overestimation of average costs per hospitalization due to a higher proportion of de-novo AHF and ACS patients.
The number and cost of anti-arrhythmic interventions may have been underestimated because some patients were electively readmitted for device implantation.
Only direct costs of cardiology department hospitalizations for the acute phase of heart failure were evaluated, without long-term monitoring of subsequent costs.
Comparisons with cost results from other countries are limited by differences in healthcare systems and lack of inflation adjustments.

Implication

May inform resource planning in de-novo acute HF; leaves open prospective validation of mitigation strategies.

Abstract

CĂl: StanovenĂ nĂĄkladĹŻ na hospitalizaci pacientĹŻ s akutnĂm srdeÄnĂm selhĂĄnĂm (ASS) hospitalizovanĂ˝ch v letech 2005-2009 na kardiologickĂŠ klinice z pohledu plĂĄtce zdravotnĂ pĂŠÄe a nĂĄslednĂŠ zhodnocenĂ heterogenity vĂ˝dajĹŻ dle etiologie ASS.Metodologie: Typ ASS a jeho etiologie byla urÄena pĹi pĹijetĂ pacienta na kliniku. NĂĄklady na pĂŠÄi vychĂĄzejĂ z individuĂĄlnĂho hospitalizaÄnĂho ĂşÄtu kaĹždĂŠho pacienta (celkem 1 759 pacientĹŻ; 58,7 % muĹžĹŻ; prĹŻmÄrnĂ˝ vÄk 71 let).VĂ˝sledky: MediĂĄn dĂŠlky hospitalizace pacientĹŻ pro ASS byl 7 dnĂ pĹi prĹŻmÄrnĂ˝ch nĂĄkladech 3 364 € (92 515 KÄ). U 67,4 % pacientĹŻ byl zaznamenĂĄn pobyt na koronĂĄrnĂ jednotce (KJ) po dobu 3 dnĹŻ (mediĂĄn). SignifikantnÄ vyĹĄĹĄĂ nĂĄklady (prĹŻmÄrnÄ 3 678 €; 101 139 KÄ) byly spojeny s hospitalizacĂ pacientĹŻ s novÄ vzniklĂ˝m ASS (tzv. de novo ASS) neĹž u pacientĹŻ s akutnĂ dekompenzacĂ chronickĂŠho srdeÄnĂho selhĂĄnĂ (prĹŻmÄrnĂŠ nĂĄklady2 878 €; 79 154 KÄ; p < 0,001). U pacientĹŻ s de novo ASS byla vyĹĄĹĄĂ potĹeba pobytu na JIP a/nebo KJ, delĹĄĂ pobyt na JIP/KJ a ÄastÄji byly provedeny intervenÄnĂ zĂĄkroky (zejmĂŠna perkutĂĄnnĂ koronĂĄrnĂ intervence - PCI). Dle etiologie ASS byly nejÄastÄji se vyskytujĂcĂ pĹĂÄinou hospitalizace akutnĂ koronĂĄrnĂ syndromy, jeĹž byly zĂĄroveĹ spojeny s nejvyĹĄĹĄĂmi prĹŻmÄrnĂ˝mi nĂĄklady na hospitalizaci (4 429 €; 121 797 KÄ), vyplĂ˝vajĂcĂmi z provedenĂ˝ch PCI u 63,3 % pacientĹŻ a pobytu na KJ u 91,7 % pacientĹŻ. Variabilita dĂŠlky hospitalizace dle etiologie ASS byla minimĂĄlnĂ (mediĂĄn 6-8 dnĂ). K ĂşmrtĂ za hospitalizace doĹĄlo u 15,0 % pacientĹŻ.ZĂĄvÄry: NĂĄklady na hospitalizaci pacientĹŻ s ASS jsou vysokĂŠ, zejmĂŠna u podskupiny s de novo ASS. He-terogenita ve spotĹebÄ zdrojĹŻ je dĂĄna provedenĂ˝mi nĂĄkladnĂ˝mi intervencemi v jednotlivĂ˝ch podskupinĂĄch, zejmĂŠna perkutĂĄnnĂ koronĂĄrnĂ intervencĂ a implantacĂ antiarytmickĂ˝ch zaĹĂzenĂ.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Říhová et al. (2012) conducted an observational in Acute heart failure (n=1,759). De-novo acute heart failure vs. Acute decompensation of chronic heart failure was evaluated on Mean total in-hospital costs (p=<0.001). De-novo acute heart failure was associated with significantly higher mean in-hospital costs (€3678) compared to acute decompensation of chronic heart failure (€2878), largely driven by a greater need for intensive care and interventions.

synapsesocial.com/papers/6a49a034bf54f04e123b45fc https://doi.org/10.1016/j.crvasa.2012.10.004

View Full Paper

Ask AI

Bookmark

Share

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

Key Points

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

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

Key Points

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

Keep reading

More related papers

More from Cor et Vasa

Keep reading

More related papers

More from Cor et Vasa