期刊
JOURNAL OF CARDIAC FAILURE
卷 14, 期 8, 页码 651-658出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.cardfail.2008.06.005
关键词
Cost; heart failure; human; medical therapy; treatment outcomes
资金
- National Heart Lung and Blood Institute of the National Institutes of Health, Bethesda, Maryland [HL-53986]
- Thoratec Corporation, Pleasanton, California
- Center for Medicare and Medicaid Services
Objective: To examine patterns of resource use and the cost of care for patients with advanced heart failure treated with medical management (MM) during the final 2 years of life. Methods and Results: The study population (n = 47, mean age 70.4 years +/- 7.06) included patients randomized to the MM arm of the Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure trial. Inpatient and outpatient use data were obtained front the clinical dataset and Centers for Medicare and Medicaid Services (beginning January 1, 1998). Cost and resource use were tracked from the date of death (t(d)) backward in 3-month intervals (eg, t(d-1), t(d-2)). In the primary analysis, costs were summed across intervals. The mean cost of MM in the final 2 years of life was $156,169, with 50.5% ($78,880.39) expended in the final 6 months. The mean quarterly cost increased (P < .01) 4.9-fold from t(d-8) ($8,816 +/- $14,270) to t(d-1) ($42,836 +/- $41,407). The number of inpatient days increased (P < .01) 6.6-fold from 3.8 +/- 4.7 days to 22.2 +/- 23.5 days during the same time intervals. Conclusion: This current economic analysis extends on previous findings by demonstrating that medical therapy in advanced and end-stage heart failure is associated with significant costs and resource consumption; these costs and resource consumption increase significantly as death approaches. (I Cardiac Fail 2008;14:651-658)
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据