[Influence of different treatment patterns on cost-effectiveness in treatment of acute myocardial infarction]
Hong-ke Zeng1, Ming Fang, Heng Ye
1Department of Pathophysiology, Medical College of Jinan University, Guangzhou 510632, China.
Insights
The 120-grade 3 A hospital Cardiac Care Unit (CCU) pattern is more cost-effective for treating acute myocardial infarction (AMI). This approach leads to better patient outcomes and improved health status compared to lower-grade facilities.
Area of Science:
- Cardiology
- Health Economics
- Public Health
Context:
- Acute Myocardial Infarction (AMI) treatment patterns vary.
- Cost-effectiveness of different treatment pathways requires investigation.
- Guangzhou 120 Call Center data from 2003-2005 provides a basis for analysis.
Purpose:
- To compare the cost-effectiveness of different treatment patterns for Acute Myocardial Infarction (AMI).
- To evaluate the impact of hospital grade on AMI patient outcomes and healthcare costs.
Summary:
- A study followed 101 patients treated at Grade 2A hospitals (Group A) and 137 at Grade 3A hospitals (Group B) for AMI.
- Group B (Grade 3A) had higher hospitalization costs but significantly lower mortality and stroke rates.
- Group B also showed better health status scores and higher rates of smoking cessation, specialist follow-up, and statin use.
Impact:
- The 120-grade 3A hospital CCU pattern demonstrates superior cost-effectiveness in AMI treatment.
- Higher-grade facilities improve patient prognosis and quality of life post-AMI.
- Findings support optimizing referral systems for better AMI patient care and resource allocation.
Objective:
To investigate the influences of different treatment patterns on the cost-effectiveness in treating acute myocardial infarction (AMI).
Methods:
Data about referral of AMI patients who called for help because of chest pain to the nearby hospitals from October 2003 to December 2005 were collected from the Guangzhou 120 Call Center. All these patients were followed up 6 months after discharge to survey the cost during hospitalization, major treatment, prognosis (death, re-infarction, stroke etc. ), and secondary prevention for coronary heart disease. We used SF-36 scale was used to quantify the health status.
Results:
101 AMI patients referred to grade 2 A hospitals (Group A) and 137 patients referred to grade 3 A hospitals (Group B) were successfully followed up. The cost during hospitalization of Group B was (33965 +/- 963) yuan RMB, significantly higher than that of Group A (18943 +/- 893) yuan, P = 0.021). 11 patients of Group B died, and 5 patients suffered from stroke with the mortality and stroke rate both significantly lower than those of Group A (18/101 and 12/101, P = 0.022, P = 0.015). There was no significant difference in the re-infarction rate between the 2 groups. The scores in physical function, general health status, vitality, social function, role-emotional, mental health of Group B were all significantly higher than those of Group A (all P < 0.05) , however, there were not significant differences in body pain and role-physical between these 2 groups. The smoking cessation rate, specialist outpatient department follow-up rate, statins use rate of Group B were significantly higher than those of Group A (P = 0.017, P = 0.016, P = 0.038).
Conclusion:
The 120-grade 3 A hospital CCU pattern is more cost-effective in treatment of AMI.
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