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Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients

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dc.contributor.author Farré López, Núria
dc.contributor.author Vela, Emili
dc.contributor.author Clèries, Montse
dc.contributor.author Bustins, Montse
dc.contributor.author Cainzos-Achirica, Miguel
dc.contributor.author Enjuanes Grau, Cristina
dc.contributor.author Moliner Borja, Pedro
dc.contributor.author Ruíz Bustillo, Sonia
dc.contributor.author Verdú-Rotellar, José María
dc.contributor.author Comín Colet, Josep
dc.date.accessioned 2016-09-27T11:35:05Z
dc.date.issued 2016
dc.identifier.citation Farré N, Vela E, Clèries M, Bustins M, Cainzos-Achirica M, Enjuanes C. et al. Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients. Eur J Heart Fail. 2016 Sep;18(9):1132-40. DOI: 10.1002/ejhf.549
dc.identifier.issn 1388-9842
dc.identifier.uri http://hdl.handle.net/10230/27316
dc.description.abstract AIMS: Heart failure (HF) is one of the diseases with greater healthcare expenditure. However, little is known about the cost of HF at a population level. Hence, our aim was to study the population-level distribution and predictors of healthcare expenditure in patients with HF. METHODS AND RESULTS: This was a population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on 31 December 2012 (n = 88 195). We evaluated 1-year healthcare resource use and expenditure using the Health Department (CatSalut) surveillance system that collects detailed information on healthcare usage for the entire population. Mean age was 77.4 (12) years; 55% were women. One-year mortality rate was 14%. All-cause emergency department visits and unplanned hospitalizations were required at least once in 53.4% and 30.8% of patients, respectively. During 2013, a total of €536.2 million were spent in the care of HF patients (7.1% of the total healthcare budget). The main source of expenditure was hospitalization (39% of the total) whereas outpatient care represented 20% of the total expenditure. In the general population, outpatient care and hospitalization were the main expenses. In multivariate analysis, younger age, higher presence of co-morbidities, and a recent HF or all-cause hospitalization were independently associated with higher healthcare expenditure. CONCLUSIONS: In Catalonia, a large portion of the annual healthcare budget is devoted to HF patients. Unplanned hospitalization represents the main source of healthcare-related expenditure. The knowledge of how expenditure is distributed in a non-selected HF population might allow health providers to plan the distribution of resources in patients with HF.
dc.description.sponsorship Miguel Cainzos-Achirica was funded by a research grant frorn the Spanish Society of Cardiology.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartof European Journal of Heart Failure. 2016 Sep;18(9):1132-40
dc.rights This is the pre-peer reviewed version of the following article: Farré N, Vela E, Clèries M, Bustins M, Cainzos-Achirica M, Enjuanes C. et al. Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients. Eur J Heart Fail. 2016 Sep;18(9):1132-40, which has been published in final form at http://dx.doi.org/10.1002/ejhf.549]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
dc.subject.other Infart de miocardi
dc.title Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1002/ejhf.549
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/acceptedVersion

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