International journal of cardiology · 2009
The type of acute heart failure and the costs of hospitalization.
Сравнительное исследованиеПисьмо в редакциюМногоцентровое исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Harjola Veli-Pekka, Costa Susana, Sund Reijo, Ylikangas Stiina, Siirilä-Waris Krista, Melin John, Peuhkurinen Keijo, Nieminen Markku S, FINN-AKVA Study Group
Аннотация
BACKGROUND: The costs of different classes of acute HF (AHF) are not known.
METHODS: AHF patients (N = 620) were divided in a national, prospective, observational study into five clinical classes: cardiogenic shock, pulmonary oedema, congestive HF, hypertensive HF, and right HF. Index episode and 6-month readmissions were assessed and hospitalization costs were evaluated.
RESULTS: The length of index episode, ICU/CCU stay and costs of index episode and cumulative 6-month costs differed significantly between the clinical classes. The highest cumulative 6-month hospitalization costs, 25,963 (15,053-44778) € (mean, 95% confidence interval) incurred in cardiogenic shock, followed by pulmonary oedema, 12,912 (11,006-15,148) €, and congestive HF, 9475 (8550-10,500) €.
CONCLUSIONS: AHF leads to significant need for hospital care and high costs which differ significantly between clinical classes of AHF.
METHODS: AHF patients (N = 620) were divided in a national, prospective, observational study into five clinical classes: cardiogenic shock, pulmonary oedema, congestive HF, hypertensive HF, and right HF. Index episode and 6-month readmissions were assessed and hospitalization costs were evaluated.
RESULTS: The length of index episode, ICU/CCU stay and costs of index episode and cumulative 6-month costs differed significantly between the clinical classes. The highest cumulative 6-month hospitalization costs, 25,963 (15,053-44778) € (mean, 95% confidence interval) incurred in cardiogenic shock, followed by pulmonary oedema, 12,912 (11,006-15,148) €, and congestive HF, 9475 (8550-10,500) €.
CONCLUSIONS: AHF leads to significant need for hospital care and high costs which differ significantly between clinical classes of AHF.