Nuria Farré1,2, Emili Vela3, Montse Clèries3, Montse Bustins3, Miguel Cainzos-Achirica4,5, Cristina Enjuanes1,2,6, Pedro Moliner1,2,6, Sonia Ruiz1,2, Jose Maria Verdú-Rotellar2,6,7, Josep Comín-Colet1,2,6. 1. Heart Failure Programme, Department of Cardiology, Hospital del Mar, Barcelona, Spain. 2. Heart Diseases Biomedical Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. 3. Analysis on Demand and Activity Division, Catalan Health Service, Barcelona, Spain. 4. Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD, USA. 5. Ciccarone Center for the Prevention of Heart Disease, Department of Cardiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA. 6. School of Medicine, Universitat Pompeu Fabra and Universitat Autònoma de Barcelona, Spain. 7. Jordi Gol Primary Care Research Institute, Catalan Institute of Heath, Barcelona, Spain.
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.
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.
Authors: M Tajes; C Díez-López; C Enjuanes; P Moliner; J L Ferreiro; A Garay; S Jiménez-Marrero; S Yun; S G Sosa; L Alcoberro; J González-Costello; E García-Romero; L Yañez-Bisbe; B Benito; J Comín-Colet Journal: Cell Biosci Date: 2021-05-17 Impact factor: 7.133
Authors: Juan Carlos López-Azor; Noelia de la Torre; María Dolores García-Cosío Carmena; Pedro Caravaca Pérez; Catalina Munera; Irene MarcoClement; Rocío Cózar León; Jesús Álvarez-García; Marta Pachón; Fernando Arribas Ynsaurriaga; Rafael Salguero Bodes; Juan Francisco Delgado Jiménez; Javier de Juan Bagudá Journal: Card Fail Rev Date: 2022-04-21
Authors: Nuria Farré; Josep Lupon; Eulàlia Roig; Jose Gonzalez-Costello; Joan Vila; Silvia Perez; Marta de Antonio; Eduard Solé-González; Cristina Sánchez-Enrique; Pedro Moliner; Sonia Ruiz; C Enjuanes; Sonia Mirabet; Antoni Bayés-Genís; Josep Comin-Colet Journal: BMJ Open Date: 2017-12-21 Impact factor: 2.692
Authors: Ingrid Lekander; Carl Willers; Elisabeth Ekstrand; Mia von Euler; Birgitta Fagervall-Yttling; Lena Henricson; Konstantinos Kostulas; Mikael Lilja; Katharina S Sunnerhagen; Jörg Teichert; Hélène Pessah-Rasmussen Journal: BMJ Open Date: 2017-09-07 Impact factor: 2.692