COVID-19 and Acute Myocardial Infarction: Exploring Clinical Factors and Treatment Expenditures

Soheila Rajaie1, Aziz Rezapour2, Masih Tajdini3

  • 1Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Insights

Patients with acute myocardial infarction (AMI) and COVID-19 had higher mortality and longer hospital stays. However, direct treatment costs were similar between COVID-19 and non-COVID-19 AMI patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Health Economics

Background:

  • Acute myocardial infarction (AMI) occurring concurrently with COVID-19 presents complex clinical challenges.
  • This co-morbidity impacts hospital resource utilization and patient outcomes.
  • Understanding the direct treatment costs associated with this dual diagnosis is crucial for healthcare management.

Purpose of the Study:

  • To investigate and analyze the direct treatment costs for patients experiencing acute myocardial infarction (AMI) alongside COVID-19.
  • To compare these costs with those of AMI patients without COVID-19.

Main Methods:

  • A cross-sectional study was conducted at Tehran Heart Center.
  • Clinical data (symptoms, readmission, interventions) and treatment costs were analyzed.
  • Mean medical costs were calculated for January-May 2022.

Main Results:

  • The COVID-19 group had a higher mortality rate (24%) compared to the non-COVID-19 group (5%).
  • Patients with COVID-19 experienced longer hospital stays (8.70 days vs. 6.31 days).
  • Average total treatment costs were comparable between groups ($6384.54 vs. $6362.49).

Conclusions:

  • Concurrent COVID-19 significantly increases in-hospital mortality for AMI patients.
  • Longer hospital stays correlate with increased treatment costs.
  • Despite higher mortality and longer stays, direct treatment costs for AMI patients with COVID-19 were not significantly different from those without COVID-19.
Abstract

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