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Cerebrovasc Dis. 2004;18(1):8-15. Epub 2004 May 19.

Direct medical costs attributable to acute myocardial infarction and ischemic stroke in cohorts with atherosclerotic conditions.

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  • 1Rand Corp., Santa Monica, Calif., USA. sloss@rand.org

Abstract

BACKGROUND:

The cost of acute ischemic events in persons with established atherosclerotic conditions is unknown.

METHODS:

The direct medical costs attributable to secondary acute myocardial infarction (AMI) or ischemic stroke among persons with established atherosclerotic conditions were estimated from 1995-1998 data on 1,143 patients enrolled in US managed care plans.

RESULTS:

The average 180-day costs attributable to secondary AMI or stroke were estimated as USD 19,056 in the AMI cohort having a private insurance (commercial; n = 344), USD 16,845 in the AMI cohort having government insurance (Medicare, age >/=65 years; n = 200), USD 10,267 for stroke commercial (n = 108), USD 16,280 for stroke Medicare (n = 113), USD 15,224 for peripheral arterial disease commercial (n = 170), and USD 15,182 for peripheral arterial disease Medicare (n = 208).

CONCLUSION:

These estimates can be used to study the cost-effectiveness of interventions proven to reduce these secondary events.

PMID:
15159615
DOI:
10.1159/000078602
[PubMed - indexed for MEDLINE]
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