Economic burden of post-acute myocardial infarction heart failure in the United Kingdom

Economic burden of post-acute myocardial infarction heart failure in the United Kingdom
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DOI:
10.1016/j.ejheart.2004.10.020
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发表时间:
2005-06-01
影响因子:
18.2
通讯作者:
Tabberer, M
Tabberer, M
中科院分区:
医学1区
文献类型:
--
作者:
Lacey, L;Tabberer, M

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充血性心力衰竭(CHF)是发病率和死亡率的主要原因。本研究从英国国家卫生服务体系(NHS)的角度对急性心肌梗死(AMI)后CHF的负担进行了量化,并对1990年以来有关心力衰竭经济负担的出版物进行了系统的文献综述。2000年英国AMI后心力衰竭的经济负担估计有两种情况:(1)基础病例估计(AMI后心力衰竭占心力衰竭病例的20%):直接医疗保健费用为1.25 - 1.81亿英镑(约1.25 - 1.81亿英镑)。NHS总支出的0.4%)和疗养院成本为27百万英镑,(2)上限估计(AMI后心力衰竭占总数的50%):直接医疗保健成本为313-453百万英镑(约占NHS总支出的1.0%)和疗养院成本为68百万英镑。总之,AMI后心力衰竭对英国造成了重大的直接经济负担。(c)2004年欧洲心脏病学会。由爱思唯尔公司出版
Congestive heart failure (CHF) is a major cause of morbidity and mortality. This study was carried out to quantify the burden of CHF, subsequent to acute myocardial infarction (AMI), from the perspective of the UK National Health Service (NHS).A systematic literature review of publications since 1990 was carried out on the economic burden of heart failure. The economic burden of post-AMI heart failure in the UK for the year 2000 was estimated for two scenarios: (1) Base-case estimate (post-AMI heart failure accounts for 20% of heart failure cases): Direct healthcare costs of 125-181 pound million (approx. 0.4% of total NHS spend) and nursing home costs of 27 pound million, (2) Upper estimate (post-AMI heart failure accounts for 50% of the total): Direct healthcare costs of 313-453 pound million (approx 1.0% of total NHS spend) and nursing home costs of 68 pound million. In conclusion, post-AMI heart failure imposes a significant direct economic burden on the UK. (c) 2004 European Society of Cardiology. Published by Elsevier B.V.