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Ann Cardiol Angeiol (Paris). 2017 Apr;66(2):74-80. doi: 10.1016/j.ancard.2016.12.004. Epub 2017 Jan 27.

[Costs of healthcare resource consumption after a myocardial infarction in France: An estimate from a medicoadministrative database (GSB)].

[Article in French]

Author information

1
Département de pathologie cardiaque, institut mutualiste Montsouris, 75014 Paris, France.
2
Unité de pharmaco-épidémiologie, département de pharmacologie, université Victor-Segalen Bordeaux 2, 33000 Bordeaux, France.
3
CEMKA-EVAL, 43, boulevard du Maréchal-Joffre, 92340 Bourg-la-Reine, France. Electronic address: Stephane.bouee@cemka.fr.
4
CEMKA-EVAL, 43, boulevard du Maréchal-Joffre, 92340 Bourg-la-Reine, France.
5
Inserm UMS 011, 94807 Villejuif, France.
6
Merck, Sharpe & Dohme, 92400 Courbevoie, France.
7
Inserm U-698, université Paris-Diderot, 75013 Paris, France; Département de cardiologie, hôpital Bichat, Assistance publique-Hôpitaux de Paris, 75018 Paris, France.

Abstract

OBJECTIVE:

To estimate the costs of healthcare resource consumption in the year preceding and the year following a myocardial infarction (MI).

PATIENTS AND METHODS:

A historical cohort of patients experiencing an MI in France between 2007 and 2011 was extracted from the échantillon généraliste de bénéficiaires, a 1/97th sample of all beneficiaries of public health insurance in France.

RESULTS:

A total of 1920 patients experiencing an MI were identified. Two-thirds were men and the mean age was 67 years; 20.6% had diabetes, 37.6% hypercholesterolaemia and 82.4% hypertension. From a societal perspective, the annual costs of medical consumption related to hospitalisations increased from € 4548 before the MI to € 6470 in the following year. Costs of community care rose from € 2932 to € 6208. This increase concerned all components of community healthcare: costs associated with medical transportation increased fourfold, those associated with consultations and laboratory tests tripled, medication costs doubled and costs of paramedical services also increased, but to a lesser extent. It should be noted that the cost of hospitalisation for the index MI (€ 5876) is not included in the above costs.

CONCLUSION:

From a society perspective, the cost of healthcare resource consumption increased threefold in the year following an MI.

KEYWORDS:

Cost; Coût; France; Infarctus du myocarde; Myocardial infarction

PMID:
28139200
DOI:
10.1016/j.ancard.2016.12.004
[Indexed for MEDLINE]

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