心房的成本:一个系统的审查
Alessandra Buja1, Vincenzo Rebba2, Laura Montecchio1
1Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Italy.
概括
前庭动 (AF) 的治疗费用很高,主要是由住院治疗造成的. 管理诸如中风和心力衰竭等并发症是减少医疗保健费用和改善患者治疗结果的关键.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
背景情况:
- 心房动 (AF) 是一种普遍的心律失常症,由于人口老龄化,其发病率正在上升.
- 医疗费用产生了大量的直接和间接医疗保健成本.
研究的目的:
- 确定AF中主要的成本驱动因素.
- 评估护理策略变化的经济影响.
- 为降低成本提出有针对性的干预措施.
主要方法:
- 在PubMed和Scopus数据库中的系统文献搜索.
- 包括对AF疾病成本的分析观察研究.
- 按照PRISMA 2020的指导方针进行.
主要成果:
- 在全球范围内进行的24项研究符合纳入标准.
- 每名患者平均每年的直接医疗费用为9409欧元 (13,333美元PPP).
- 住院治疗是主要的成本驱动因素;并发病 (中风,心力衰竭) 显著增加了成本.
结论:
- 住院护理占AF直接医疗成本的最大部分.
- 对并发症 (中风,心力衰竭) 的有效管理至关重要.
- 实施基于指导方针的并发症管理可以改善健康结果并降低医疗保健成本.
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