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[The cost of acute myocardial infarction management: the Tunisian experience]
Hajer Aounallah Skhiri1, Imen Ben Abdelkrim, Horma Ouldezein
1Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.
Insights
The average direct medical cost for acute myocardial infarction (AMI) was 2171 Tunisian Dinars. This study provides a novel methodology for assessing AMI costs in Tunisia.
Area of Science:
- Cardiovascular Medicine
- Health Economics
- Public Health
Context:
- Acute myocardial infarction (AMI) poses a significant health burden globally.
- Understanding the direct medical costs associated with AMI is crucial for healthcare resource allocation.
- Limited data exists on the economic impact of AMI in the District of Tunis.
Purpose:
- To determine the direct medical cost of acute myocardial infarction (AMI).
- To analyze the cost components contributing to overall AMI expenditure.
- To establish a cost assessment methodology applicable to other cardiovascular diseases.
Summary:
- A prospective study in Tunis analyzed 632 AMI cases from November 2001 to October 2002.
- The mean direct medical cost per AMI case was 2171 Tunisian Dinars (DT), with hospital stay and interventions being major cost drivers.
- Key cost components included hospital room costs (31.7%), non-surgical cardiologic interventions (22.5%), functional investigations (26.2%), and drugs (7.2%).
Impact:
- This study establishes a benchmark for the direct medical cost of AMI in Tunisia.
- The developed methodology can be adapted to evaluate the cost of other diseases.
- Findings can inform healthcare policy and financial planning for cardiovascular disease management.
Objective:
To assess the medical direct cost of acute myocardial infarction.
Method:
Data are recorded through a prospective study in 7 wards of cardiology of the District of Tunis during one year: from November 2001 to October 2002. Cost of hospital stay, biologic analyses, drugs, functional investigations and possible non surgical cardiologic intervention (IC) was calculated.
Results:
632 AMI cases are recorded, the death rate is 7.8%. The average of hospital stay was 13.3 days. 49.1% of patients benefited from thrombolytic therapy, 55.5% benefited from a coronary angiography and 16.1% of an act of IC. The mean of direct cost (CGM) was 2171 Tunisian Dinars and the median was 1731 DT, of whom room costs 31.7%, 22.5% acts of IC, 7.2% drugs, 26.2% functional investigations and 12.4% biological analyses. The mean cost of IC was 3030 +/- 401 DT.
Conclusion:
The methodology of our study remains original in our country and can be used to assess the other aspects of AMI as other diseases cost management.
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