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资源利用和与心脏性休克复杂化心肌梗塞相关的成本:基于人口的队列研究

Simon Parlow^1,2, Shannon M Fernando^1,2,3,4, Michael Pugliese^4,5

¹CAPITAL Research Group, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

|July 25, 2024

概括

由于急性心肌梗塞 (AMI-CS) 的心脏性休克造成了大量的医疗费用,一年的费用平均为每名患者37,913美元. 未来的治疗应该集中在减少残疾,以提高成本效益.

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:

由于急性心肌梗塞 (AMI-CS) 的心脏性休克是一种严重的疾病,患病率和死亡率很高.
相关的医疗保健成本和AMI-CS的资源利用在很大程度上仍未得到量化.

研究的目的:

评估与AMI-CS相关的医疗保健成本和资源使用情况.
使用加拿大安大略省的行政数据进行全面的成本分析.

主要方法:

2009年4月至2019年3月,成年AMI-CS患者的回顾性队列研究.
分析索引入院后的一年成本,包括住院和出院后的费用.
一般化的线性模型确定了与成本增加相关的因素;通过再血管化策略的分层比较了组成本.

主要成果:

包括9789名患者;住院死亡率为30.2%,两年死亡率为45.9%.
一年总成本的中位数为37,913美元 (IQR:20,113美元-66,582美元).
与在医院死亡 (17,730美元) 相比,存活到出院的患者的一年成本 (45,713美元) 显著更高. 冠状动脉旁路移植患者的费用最高.

结论:

AMI-CS与住院和出院后的医疗保健支出有关.
未来疗法的成本效益可以通过专注于减少残疾并改善死亡率来提高.

关键词:

剧烈的心肌梗塞急性心肌梗塞心脏发生的冲击是心脏发生的冲击.关键护理关键护理关键护理医疗保健成本医疗保健成本医疗保健成本资源利用情况资源利用情况

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