Publication details

Náklady na rehospitalizaci pacientů s akutním srdečním selháním

Title in English Cost of acute heart failure related readmissions
Authors

ŘÍHOVÁ Barbora PAŘENICA Jiří MIKLÍK Roman FELŠŐCI Marián HOŘÁKOVÁ Kateřina ŠULCOVÁ Alexandra JARKOVSKÝ Jiří ŠPINAR Jindřich

Year of publication 2011
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Field Pharmacology and pharmaceutical chemistry
Keywords acute heart failure; pharmacoeconomics; in-hospital costs; hospital readmission
Description The aim was to assess direct in-patient cost and length of stay in the intensive care unit (ICU) and the standard cardiology unit in acute heart failure (AHF) readmissions. Out of 1 759 patients hospitalized with acute heart failure, 223 patients were readmitted to Faculty Hospital Brno-Bohunice (Czech Republic) during study period (61.4% male; mean age 71.2 years) with mean total cost CZK 85 120 per length of stay 9.2 days and interventions. Comparing to the first hospitalization of study cohort (223 pts.) the decrease was recorded in mean room rate, length of stay and need of ICU stay (from 48% to 42% pts.), nevertheless ICU stay increased (from 3.7 days to 4.1 days). The growth of mean cost was recorded in both procedures in angiology (the decrease in number of coronary angiography which is cheaper was more remarkable than PCI decrease in readmitted patients) and arrhythmology (including device: pacemaker, ICD, CRT) which made 57.5% of total readmission costs. The difference in mean in-patient cost between the first and second hospitalization was 18%. The antiarrhytmic procedures had the most significant impact on total readmission cost and its variability, but we assume that these procedures will reduce within next readmissions and their impact will weaken as in angiology procedures.
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