Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Cardiol. 2013 Oct 3;168(3):2375-80. doi: 10.1016/j.ijcard.2013.01.262. Epub 2013 Mar 5.

Chagas' cardiomyopathy: the economic burden of an expensive and neglected disease.

Author information

1
Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil. Electronic address: abraoabuhab@uol.com.br.

Abstract

BACKGROUND:

Chagas' cardiomyopathy (CC) is a rising etiology for heart failure (HF) that previously was restricted to some countries of Latin America. The chronic CC cases cause now a profound socio-economic impact. However this issue has not been well studied if compared to other causes of HF. The objective of this study was to assess the cost burden of CC during acute decompensated HF admissions (ADHF), and compare this cost to the other etiologies of HF.

METHODS AND RESULTS:

By the end of 2006 we started a five year follow-up of 577 consecutive adult patients admitted at a high complexity cardiology university hospital in the city of Sao Paulo, Brazil. This study shows the data of the first admission of each patient of this follow-up. Patients were divided in two groups: CC (58 patients) and non-chagasic (NC) (519 patients). Mortality was different among groups, 19/58 (32.8%) in CC vs 113/519 (21.8%) in NC (p=0.046). The prevalence of signs of inadequate perfusion was higher in the CC group at admission, but in a multivariated analysis chagasic etiology and presence of diabetes were independent predictors of higher costs per day of hospitalization adjusted by mortality. Median costs per day were US$ 308 (277-542) vs US$ 467 (323-815) for NC and CC respectively (p<0.001).

CONCLUSION:

Treating ADHF patients with CC etiology was more expensive and mortality was higher in this population at the first admission of this follow-up. This could be explained by the severity of Chagas' cardiomyopathy disease.

KEYWORDS:

Chagas' cardiomyopathy; Economic burden; Neglected disease

PMID:
23465560
DOI:
10.1016/j.ijcard.2013.01.262
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center