The type of acute heart failure and the costs of hospitalization.
The type of acute heart failure and the costs of hospitalization.
复制标题
急性心力衰竭的类型和住院费用。
DOI：
10.1016/j.ijcard.2009.05.058
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发表时间：
2010
影响因子：
3.5
通讯作者：
M. Nieminen
中科院分区：
文献类型：
--
作者：
V. Harjola;S. Costa;R. Sund;Stiina Ylikangas;Krista Siirilä‐Waris;J. Melin;K. Peuhkurinen;M. Nieminen
背景：不同类型急性心衰（AHF）的治疗成本尚不清楚。方法在一项全国前瞻性观察性研究中，将sahf患者（N=620）分为5个临床类别：心源性休克、肺水肿、充血性HF、高血压HF和右心衰。评估指数发作和6个月再入院率，并评估住院费用。结果不同临床类别患者的指数发作时间、ICU/CCU住院时间、指数发作费用和累计6个月费用差异显著。心源性休克导致的6个月累计住院费用最高，为25,963（15,053-44778）欧元（平均值，95%置信区间），其次是肺水肿，12,912（11,006-15,148）欧元，以及充血性心力衰竭，9475（8550-10,500）欧元。结论急性心力衰竭患者需要住院治疗，且住院费用较高，不同临床类型间差异显著。
BACKGROUNDThe costs of different classes of acute HF (AHF) are not known.METHODSAHF 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.RESULTSThe 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) €.CONCLUSIONSAHF leads to significant need for hospital care and high costs which differ significantly between clinical classes of AHF.