Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction.
Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction.
复制标题
2型糖尿病对老年急性心肌梗死患者住院费用的影响
DOI：
10.2147/cia.s59802
复制
发表时间：
2014
影响因子：
3.6
通讯作者：
Wang ZH
中科院分区：
文献类型：
--
作者：
Fu KL;Fan GQ;Han L;Wang XZ;Wang J;Wang YS;Zhong M;Zhang Y;Zhang W;Wang ZH
Background: The purpose of this study was to evaluate the impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction (MI). Methods: Retrospective analysis of data from the case retrieval system of Qilu Hospital of Shandong University located in Jinan city of Shandong Province was done for patients with Results: Stenting was an important factor affecting older patients' total hospitalization costs (β=0.685, P=0.000) and treatment costs during the follow-up period (duration of hospital stay only, β=0.508, P=0.000). Stenting was also a protective factor in the prevention of acute heart failure (HF) in older patients with acute MI during the follow-up period (odds ratio 0.189, 95% confidence interval 0.059–0.602, P=0.005). Implementation of percutaneous coronary intervention reduced the incidence of acute HF in older inpatients with acute MI (27.8% versus 4.3%, P=0.001) and without diabetes (18.2% versus 3.8%, P=0.001). Moreover, among the elderly, the incremental cost-effectiveness ratio estimate for implementing percutaneous coronary intervention in diabetic patients was higher than in nondiabetic patients. Conclusion: Stenting was a protective factor for preventing acute HF in the elderly during the follow-up period. From the perspective of reducing the incidence of acute HF in inpatients, implementation of percutaneous coronary intervention after an acute MI is more cost-effective in older patients with diabetes mellitus than in those without it.
