The type of acute heart failure and the costs of hospitalization

Abstract 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 episod...

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Bibliographic Details
Published inInternational journal of cardiology Vol. 145; no. 1; pp. 103 - 105
Main Authors Harjola, Veli-Pekka, Costa, Susana, Sund, Reijo, Ylikangas, Stiina, Siirilä-Waris, Krista, Melin, John, Peuhkurinen, Keijo, Nieminen, Markku S
Format Journal Article
LanguageEnglish
Published Shannon Elsevier Ireland Ltd 05.11.2010
Elsevier
Subjects
Acute Disease
Acute heart failure
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular
Costs
Costs and Cost Analysis - economics
Follow-Up Studies
Health economics
Heart
Heart Failure - classification
Heart Failure - economics
Heart Failure - therapy
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Hospital Costs - trends
Hospitalization
Hospitalization - economics
Hospitalization - trends
Humans
Index episode
Medical sciences
Prospective Studies
Readmissions
Index episode
Costs
Hospitalization
Health economics
Acute heart failure
Readmissions
Heart failure
Acute
Cardiovascular disease
Index
Type
Heart disease
Health economy
Cardiology
Public health
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Summary:Abstract 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.
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ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2009.05.058