Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires
Introduction: It is undeniable that costs of medical care in chronic diseases has increased. There are multiple reasons: population aging, associated pathologies late complications, available high cost health technologies. Heart failure is one of the main causes of global death and morbidity, being...
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| Formato: | Artículo revista |
| Lenguaje: | Español Inglés |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2018
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/15677 |
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I10-R327-article-15677 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español Inglés |
| format |
Artículo revista |
| topic |
cardiac failure costs hospital admissions readmissions mortality comorbidity. Insuficiencia cardíaca costos internación reinternación mortalidad comorbilidad |
| spellingShingle |
cardiac failure costs hospital admissions readmissions mortality comorbidity. Insuficiencia cardíaca costos internación reinternación mortalidad comorbilidad Waisman, Gabriel Dario Tortella, Juan Jose Garfi, Leonardo Guillermo Izbizky, Gustavo Hernan Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires |
| topic_facet |
cardiac failure costs hospital admissions readmissions mortality comorbidity. Insuficiencia cardíaca costos internación reinternación mortalidad comorbilidad |
| author |
Waisman, Gabriel Dario Tortella, Juan Jose Garfi, Leonardo Guillermo Izbizky, Gustavo Hernan |
| author_facet |
Waisman, Gabriel Dario Tortella, Juan Jose Garfi, Leonardo Guillermo Izbizky, Gustavo Hernan |
| author_sort |
Waisman, Gabriel Dario |
| title |
Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires |
| title_short |
Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires |
| title_full |
Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires |
| title_fullStr |
Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires |
| title_full_unstemmed |
Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires |
| title_sort |
direct medical costs of hospitalization due to heart failure in the health plan of the hospital italiano de buenos aires |
| description |
Introduction: It is undeniable that costs of medical care in chronic diseases has increased. There are multiple reasons: population aging, associated pathologies late complications, available high cost health technologies. Heart failure is one of the main causes of global death and morbidity, being the final consequence of cardiac diseases and hypertension, fulfilling criteria of becoming a high costs pathology. We are going to evaluate direct medical costs of hospitalization due to heart failure from the vision of those who manage health resources.
Materials and Methods: Observational, retrospective cohort using secondary databases from the Hospital Italiano de Buenos Aires. Adult population with diagnosed heart failure that required hospitalization with discharge diagnosis of heart failure between 2007 and 2011.
Results: The main cost component was attributable to hospital bed, diagnostic and therapeutic interventions. The average incidence of hospitalizations during the period was 11.4 per 10,000 patients / year. Overall mortality in the episode rate was 0.25% per year and 28.8 % overall 60%
Conclusion: The most important decision seems decide whether management can be done on an outpatient basis or not, using heart failures guidelines to optimize time of admission, auxiliary diagnostic methods and medications used. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2018 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/15677 |
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I10-R327-article-156772024-08-27T18:20:23Z Direct medical costs of hospitalization due to heart failure in the health plan of the Hospital Italiano de Buenos Aires Costos médicos directos de las Internaciones por Insuficiencia Cardiaca en el Plan de Salud del Hospital Italiano de Buenos Aires Waisman, Gabriel Dario Tortella, Juan Jose Garfi, Leonardo Guillermo Izbizky, Gustavo Hernan cardiac failure costs hospital admissions readmissions mortality comorbidity. Insuficiencia cardíaca costos internación reinternación mortalidad comorbilidad Introduction: It is undeniable that costs of medical care in chronic diseases has increased. There are multiple reasons: population aging, associated pathologies late complications, available high cost health technologies. Heart failure is one of the main causes of global death and morbidity, being the final consequence of cardiac diseases and hypertension, fulfilling criteria of becoming a high costs pathology. We are going to evaluate direct medical costs of hospitalization due to heart failure from the vision of those who manage health resources. Materials and Methods: Observational, retrospective cohort using secondary databases from the Hospital Italiano de Buenos Aires. Adult population with diagnosed heart failure that required hospitalization with discharge diagnosis of heart failure between 2007 and 2011. Results: The main cost component was attributable to hospital bed, diagnostic and therapeutic interventions. The average incidence of hospitalizations during the period was 11.4 per 10,000 patients / year. Overall mortality in the episode rate was 0.25% per year and 28.8 % overall 60% Conclusion: The most important decision seems decide whether management can be done on an outpatient basis or not, using heart failures guidelines to optimize time of admission, auxiliary diagnostic methods and medications used. Introducción Es innegable el incremento de los costos de los cuidados médicos de las enfermedades crónicas. Existen múltiples razones: envejecimiento poblacional, complicaciones tardías de las patologías asociadas y disponibilidad de tecnologías sanitarias de alto costo. La insuficiencia cardiaca es una de las principales causas mundiales de mortalidad y morbilidad, siendo la consecuencia final de las enfermedades cardíacas y la hipertensión arterial, cumpliendo criterios para convertirse en una patología de gran consumo de recursos. En el presente trabajo estudiaremos los costos de la insuficiencia cardiaca desde la visión de quienes gestionan los recursos sanitarios. Materiales y Métodos Estudio observacional, de cohorte retrospectiva utilizando bases de datos secundarias del Plan de Salud del Hospital Italiano de Buenos Aires. Población adulta con diagnóstico de insuficiencia cardiaca que hayan requerido internación con diagnóstico al egreso de insuficiencia cardiaca entre los años 2007 y 2011. Resultados El principal componente de los costos fue atribuible a la estadía hospitalaria, las intervenciones diagnósticas y terapéuticas. La incidencia media de internaciones durante el período fue de 11.4 por cada 10.000 pacientes/año. La mortalidad global en el episodio índice fue del 0,25%, al año 28,8% y global del 60% Conclusión La decisión más importante parece ser decidir si el manejo puede hacerse ambulatoriamente o no, poniendo en marcha guías de manejo de la insuficiencia cardiaca para optimizar tiempos de internación, métodos auxiliares de diagnóstico y los medicamentos utilizados. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-02-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/pdf application/x-rar application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/15677 10.31053/1853.0605.v75.n1.15677 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 75 No. 1 (2018); 3-11 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 75 Núm. 1 (2018); 3-11 Revista da Faculdade de Ciências Médicas de Córdoba; v. 75 n. 1 (2018); 3-11 1853-0605 0014-6722 10.31053/1853.0605.v75.n1 spa eng https://revistas.unc.edu.ar/index.php/med/article/view/15677/19865 https://revistas.unc.edu.ar/index.php/med/article/view/15677/20525 https://revistas.unc.edu.ar/index.php/med/article/view/15677/26270 https://revistas.unc.edu.ar/index.php/med/article/view/15677/26271 Derechos de autor 2018 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |