Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Direct costs of heart failure in a Portuguese population.
Session:
Posters 5 - Écran 10 - Economia na Saúde / Saúde Pública
Speaker:
Luís Ramos Dos Santos
Congress:
CPC 2019
Topic:
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
Theme:
34. Public Health and Health Economics
Subtheme:
34.3 Health Economics
Session Type:
Posters
FP Number:
---
Authors:
Luís Ramos Dos Santos; Cândida Fonseca; Patrícia Marques; Sílvia Lopes
Abstract
<p><strong>Introduction</strong>: Heart failure (HF) is a global public health issue. Its economic impact in the Autonomous Region of Madeira (ARM) is unknown. Due to the condition’s high prevalence and healthcare utilization, profiling its costs is fundamental for improved disease management.</p> <p><strong>Aim</strong>: To estimate the direct costs related to HF in the ARM.</p> <p><strong>Methods</strong>: A prevalence-based cost-of-illness approach was adopted to estimate direct costs of heart failure over a 12 month period from the healthcare system perspective. Prevalence estimates were derived from previous published study. Hospitalization and emergency department (ED) episodes were identified by the International Classification of Diseases 9<sup>th</sup> edition. Patterns of ambulatory visits and diagnostic tests in the hospital and primary care setting were derived from previous reported research and regional health system data. Medication use was also derived from this study. Costs were based on Diagnosis Related Groups and from the Portuguese official national health system tariffs.</p> <p><strong>Results</strong>: There was a 4.93% prevalence of HF in 2014 in individuals aged above 25 years, equivalent to an estimated 9201 patients. Of these, 4140 were symptomatic (NYHA≥II) and hence considered healthcare consumers. We identified 426 admissions with primary diagnosis of HF, 5.5% of total cardiovascular admissions. There were 16850 primary care ambulatory visits, 857 ED visits and 13414 internal medicine and cardiology ambulatory visits. Total direct costs were €4.089.540. Hospital-related care summed 56% of total costs, of which 49% related to hospitalization. Primary care costs accounted for 22%, medication (20%) and long term care (2%). Average annual cost per patient was €987,81.</p> <p><strong>Discussion and Conclusion</strong>: Total costs amounted to 0,1% of gross domestic product and 1,2% of the healthcare budget of the Autonomous Region of Madeira. This finding is in line with other reports from developed countries. HF is a costly syndrome for ARM, and this research adds information about the disease that was until now unknown. Population ageing is likely to continue to drive increasing costs. These results can help policy making by identifying the financial burden of HF for the healthcare public provider in the ARM. Since it defined several cost components, this study can aid in the implementation of measures to improve disease management in the regional setting and reduce the major driver of costs which is hospitalization.</p>
Our mission: To reduce the burden of cardiovascular disease
Visit our site