前庭动负担对医疗保健成本和利用率的影响
Graham Peigh1, Jiani Zhou2, Sarah C Rosemas2
1Division of Cardiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
JACC. Clinical electrophysiology
|March 2, 2024
概括
设备检测到的心房动 (AF) 显著增加了医疗保健成本,特别是持久性AF (PeAF). 了解这些成本对于管理AF至关重要.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 通过心脏植入式电子设备 (CIED) 检测心房动 (AF) 可提供患者特定的数据.
- 将CIED检测到的AF负担与医疗保健成本和利用指标相结合,对于评估AF的影响至关重要.
研究的目的:
- 为了确定与设备识别的AF相比没有AF,与设备识别的AF相关的增量医疗保健成本.
- 为了比较心房动 (pAF),持续性心房动 (PeAF) 和永久性心房动 (PermAF) 的成本.
- 评估不同AF队列的医疗保健利用率和来源.
主要方法:
- 分析了与CIED数据相关联的非识别的美国索赔数据库 (2015-2020年).
- 包括CIED患者,数据传输≥6个月植入后.
- 在AF和非AF组之间进行了对比,对临床和人口统计因素进行了调整.
主要成果:
- 在21,391名患者中,36.5%的患者有设备识别的AF.
- AF与每名患者每年12789美元的增量年化成本有关.
- 持久性AF (PeAF) 显示了最高的成本,由增加的住院治疗和AF特定干预驱动.
结论:
- 设备检测到的AF存在与医疗保健支出增加有关.
- 持久性AF (PeAF) 在AF类型中承担了最高的医疗费用.
- 成本差异归因于AF相关的并发症和临床管理策略.
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