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Elective or emergency heart transplantation: Cost comparison in a single center

Marta Farrero1, Eduardo J Flores-Umanzor1, Jose Luis Pomar2

  • 1Cardiology Department, Cardiovascular Institute, Hospital Clínic, University of Barcelona, Barcelona, Spain.

Clinical Transplantation
|May 19, 2019
PubMed

Insights

Emergency heart transplantation (HT) is significantly more expensive and has lower survival rates than elective HT. Further research into new treatment strategies for patients at risk of emergency HT is recommended.

Area of Science:

  • Cardiology
  • Health Economics
  • Transplantation Medicine

Background:

  • Heart transplantation (HT) is a critical treatment for advanced heart failure.
  • There is a notable increase in emergency HT procedures.
  • Understanding the cost implications of emergent versus elective HT is crucial for healthcare management.

Purpose of the Study:

  • To analyze and compare the costs associated with elective and emergent heart transplantation.
  • To evaluate the economic impact of different transplantation statuses in a single center.

Main Methods:

  • A retrospective analysis of all heart transplantations performed between January 2010 and May 2015.
  • Comparison of total costs, length of hospital stay, and drug-related expenses between elective and emergent HT groups.
  • Statistical analysis to determine the significance of cost and survival rate differences.

Main Results:

  • The overall mean cost of HT was €62,203 ± €47,976.
  • Emergent HT (€102,733 ± €68,050) was substantially more expensive than elective HT (€47,540 ± €25,140).
  • Emergent HT was associated with longer admissions and higher drug costs, and a significantly lower survival rate (68% vs. 96% for elective).

Conclusions:

  • Elective HT offers a favorable economic profile with high survival rates.
  • Emergent HT presents a significant financial burden and poorer patient outcomes.
  • Development of novel strategies is needed for heart failure patients at high risk for emergency HT.
Abstract

Keywords:
costeconomicsemergencyheart failure/injuryheart transplantationqualitative research

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