临床和经济负担与德国的症状和无症状阻塞性多动性心肌病相关
Farbod Sedaghat-Hamedani1,2, Carla L Zema3, Michael Schultze4
1Department of Internal Medicine III, Institute of Cardiomyopathies, University of Heidelberg, INF 410, 69120, Heidelberg, Germany.
概括
在德国,有症状的阻塞性多功能心肌病 (HCM) 患者比无症状患者面临更高的医疗费用和更糟糕的结果. 这项研究量化了与症状阻塞性HCM相关的重大临床和经济负担.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 阻塞性缩性心肌病 (HCM) 是一个重大的临床和经济挑战.
- 在德国,症状与无症状阻塞性HCM的比较负担仍然被低估.
研究的目的:
- 综合评估德国阻塞性HCM的临床和经济负担.
- 为了比较症状和无症状阻塞性HCM患者之间的结果和资源利用情况.
主要方法:
- 使用德国WIG2基准数据库 (2012-2018) 进行的回顾性观察研究.
- 识别了患有阻塞性HCM的成年人,根据算法将他们分为症状和无症状的子组.
- 评估年度流行率,患者特征,结果,资源利用和成本.
主要成果:
- 症状阻塞性HCM患者年龄较大,患上更多的并发症,并经历了较高的全因死亡率和心血管事件率.
- 有症状的患者更大程度地利用医疗保健资源,包括更多的门诊和住院访问.
- 相比于无症状患者 (4399欧元),症状阻塞性HCM患者的年平均总成本显著高 (5975欧元).
结论:
- 症状阻塞性HCM在德国带来了更大的临床和经济负担.
- 这些发现凸显了对症状阻塞性HCM患者有针对性的治疗策略的需要.
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