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欧洲国家对心房动查计划的成本效益

L Lars Bernfort¹, Johan Lyth¹, Kajsa Appelberg¹

¹Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.

European heart journal. Quality of care & clinical outcomes

|August 25, 2025

概括

八个欧洲国家对75岁的老人进行心房动的查具有成本效益. 这一战略提高了调整质量的寿命,降低了医疗保健成本,使其成为公共卫生方面的有效方法.

科学领域:

公共卫生
健康经济学
老年医学

背景情况:

预计欧洲人口老龄化会增加心房的发病率.
由于中风发生率增加, 尤其是老年人中, 肌肉炎病例的增加将给公共卫生预算带来压力.
及早检测肌肉干细胞和口服抗凝剂 (OAC) 治疗对于降低中风风险至关重要.

研究的目的:

评估八个欧洲国家对75岁老年人实施AF查计划的成本效益.
确定基于人群的AF查是否为改善健康结果提供了经济可行的策略.

主要方法:

一个马尔科夫队列模型模拟了75岁的人的AF查.
该模型纳入了有关AF流行,查有效性,OAC使用,临床事件,死亡率,生活质量和成本的特定国家数据.
为了考虑参数不确定性,进行了概率敏感性分析.

主要成果:

在所有八个分析的欧洲国家, 发现对75岁的AF查具有成本效益.
查策略占主导地位,以更低的总成本获得更多的质量调整寿命年.
据估计,查计划的财务收益率将在6至14年内实现.

结论:

在75岁的人群中以人口为基础的AF查是八个欧洲国家的成本效益高的方法.
实施AF查可以提高欧洲医疗保健系统的效率.
由于各国的异质性,建议根据国家医疗保健系统和具体情况定制AF查计划.

关键词:

抗凝固剂心房动经济效益医疗服务进行查一次中风

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