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对不同心脏再同步治疗策略中植入器件的成本比较分析

Mengna Chen¹, Jing Shi¹, Yimin Zhang¹

¹The First Hospital of Tsinghua University, Beijing, China.

Clinical cardiology

|August 4, 2023

概括

与传统的双心室节奏相比,His-Purkinje系统节奏 (HPSP) 提供了一种更具成本效益的心脏再同步疗法 (CRT). HPSP使用传统的起器,使其成为心力衰竭患者不需要除治疗的可行选择.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
卫生经济学卫生经济学

背景情况:

心脏再同步疗法 (CRT) 是心力衰竭的标准治疗方法.
传统的CRT通常涉及昂贵的三室心脏起器.
希斯-普尔金耶系统步调 (HPSP) 提供了使用更便宜的设备的替代CRT方法.

研究的目的:

为了比较不同CRT策略的植入成本.
指导电生理学家在关于CRT设备选择的临床决策中.
评估HPSP与传统CRT的成本效益.

主要方法:

收集了2022年在中国销售的CRT-P,CRT-D,双腔和单腔心脏起器的价格和设计寿命的数据.
设计寿命的价格为每个心脏起器类型计算.
进行了成本和成本效益的比较分析.

主要成果:

CRT-P和CRT-D设备比传统的心脏起器贵得多.
传统的心脏起器显示出每设计寿命比率的价格明显更好.
与基于BVP的CRT相比,基于HPSP的CRT显示出更高的成本效益.

结论:

基于传导系统节奏 (CSP) 的CRT比基于双心脏节奏 (BVP) 的CRT更具成本效益.
基于CSP的CRT可以使用常规起器实现心脏再同步.
基于HPSP的CRT为心力衰竭患者提供了一个潜在的有价值的选择,这些患者不需要除.

关键词:

双心室节奏是指双心室节奏.心脏再同步治疗心脏再同步治疗导电系统的节奏节奏.经过成本分析,分析成本.起器起器心脏起器

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