Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizatio...

Autores
Augustovski, Federico Ariel; Caporale Bec, Joaquín; Fosco, Matías; Alcaraz, Andrea; Diez, Mirta; Thierer, Jorge; Peradejordi Lastras, Margarita Ana; Pichón-Riviere, Andrés
Año de publicación
2017
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objectives: Heart failure has a great impact on health budget, mainly due to the cost of hospitalizations. Our aim was to describe health resource use and costs of heart failure admissions in three important institutions in Argentina. Methods: Multi-center retrospective cohort study, with descriptive and analytical analysis by subgroups of ejection fraction, blood pressure and renal function at admission. Generalized linear models were used to assess the association of independent variables to main outcomes. Results: We included 301 subjects; age 75.3±11.8 years; 37% women; 57% with depressed ejection fraction; 46% of coronary etiology. Blood pressure at admission was 129.8±29.7 mmHg; renal function 57.9±26.2 ml/min/1.73 m2. Overall mortality was 7%. Average length of stay was 7.82±7.06 days (median 5.69), and was significantly longer in patients with renal impairment (8.9 vs. 8.18; p=0.03) and shorter in those with high initial blood pressure (6.08±4.03; p=0.009). Mean cost per patient was AR$68,861±96,066 (US$=8,071; 1US$=AR$8.532); 71% attributable to hospital stay, 20% to interventional procedures and 6.7% to diagnostic studies. Variables independently associated with higher costs were depressed ejection fraction, presence of valvular disease, and impaired renal function. Conclusions: Resource use and costs associated to hospitalizations for heart failure is high, and the highest proportion is attributable to the costs related to hospital stay.
Fil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Caporale Bec, Joaquín. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Fosco, Matías. Fundación Favaloro; Argentina
Fil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Diez, Mirta. Instituto Cardiovascular de Buenos Aires; Argentina
Fil: Thierer, Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET.; Argentina
Fil: Peradejordi Lastras, Margarita Ana. Fundación Favaloro; Argentina
Fil: Pichón-Riviere, Andrés. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
Argentina
Costs And Cost Analysis
Health Resources
Heart Failure
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/57558
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/57558
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in ArgentinaAugustovski, Federico ArielCaporale Bec, JoaquínFosco, MatíasAlcaraz, AndreaDiez, MirtaThierer, JorgePeradejordi Lastras, Margarita AnaPichón-Riviere, AndrésArgentinaCosts And Cost AnalysisHealth ResourcesHeart Failurehttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objectives: Heart failure has a great impact on health budget, mainly due to the cost of hospitalizations. Our aim was to describe health resource use and costs of heart failure admissions in three important institutions in Argentina. Methods: Multi-center retrospective cohort study, with descriptive and analytical analysis by subgroups of ejection fraction, blood pressure and renal function at admission. Generalized linear models were used to assess the association of independent variables to main outcomes. Results: We included 301 subjects; age 75.3±11.8 years; 37% women; 57% with depressed ejection fraction; 46% of coronary etiology. Blood pressure at admission was 129.8±29.7 mmHg; renal function 57.9±26.2 ml/min/1.73 m2. Overall mortality was 7%. Average length of stay was 7.82±7.06 days (median 5.69), and was significantly longer in patients with renal impairment (8.9 vs. 8.18; p=0.03) and shorter in those with high initial blood pressure (6.08±4.03; p=0.009). Mean cost per patient was AR$68,861±96,066 (US$=8,071; 1US$=AR$8.532); 71% attributable to hospital stay, 20% to interventional procedures and 6.7% to diagnostic studies. Variables independently associated with higher costs were depressed ejection fraction, presence of valvular disease, and impaired renal function. Conclusions: Resource use and costs associated to hospitalizations for heart failure is high, and the highest proportion is attributable to the costs related to hospital stay.Fil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Caporale Bec, Joaquín. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Fosco, Matías. Fundación Favaloro; ArgentinaFil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Diez, Mirta. Instituto Cardiovascular de Buenos Aires; ArgentinaFil: Thierer, Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET.; ArgentinaFil: Peradejordi Lastras, Margarita Ana. Fundación Favaloro; ArgentinaFil: Pichón-Riviere, Andrés. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaElsevier Inc2017-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/57558Augustovski, Federico Ariel; Caporale Bec, Joaquín; Fosco, Matías; Alcaraz, Andrea; Diez, Mirta; et al.; Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina; Elsevier Inc; Value in Health Regional Issues; 14; 12-2017; 73-802212-1099CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.vhri.2017.08.008info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2212109917300663info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:46:55Zoai:ri.conicet.gov.ar:11336/57558instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:46:55.965CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
title Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
spellingShingle Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
Augustovski, Federico Ariel
Argentina
Costs And Cost Analysis
Health Resources
Heart Failure
title_short Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
title_full Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
title_fullStr Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
title_full_unstemmed Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
title_sort Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina
dc.creator.none.fl_str_mv Augustovski, Federico Ariel
Caporale Bec, Joaquín
Fosco, Matías
Alcaraz, Andrea
Diez, Mirta
Thierer, Jorge
Peradejordi Lastras, Margarita Ana
Pichón-Riviere, Andrés
author Augustovski, Federico Ariel
author_facet Augustovski, Federico Ariel
Caporale Bec, Joaquín
Fosco, Matías
Alcaraz, Andrea
Diez, Mirta
Thierer, Jorge
Peradejordi Lastras, Margarita Ana
Pichón-Riviere, Andrés
author_role author
author2 Caporale Bec, Joaquín
Fosco, Matías
Alcaraz, Andrea
Diez, Mirta
Thierer, Jorge
Peradejordi Lastras, Margarita Ana
Pichón-Riviere, Andrés
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Argentina
Costs And Cost Analysis
Health Resources
Heart Failure
topic Argentina
Costs And Cost Analysis
Health Resources
Heart Failure
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objectives: Heart failure has a great impact on health budget, mainly due to the cost of hospitalizations. Our aim was to describe health resource use and costs of heart failure admissions in three important institutions in Argentina. Methods: Multi-center retrospective cohort study, with descriptive and analytical analysis by subgroups of ejection fraction, blood pressure and renal function at admission. Generalized linear models were used to assess the association of independent variables to main outcomes. Results: We included 301 subjects; age 75.3±11.8 years; 37% women; 57% with depressed ejection fraction; 46% of coronary etiology. Blood pressure at admission was 129.8±29.7 mmHg; renal function 57.9±26.2 ml/min/1.73 m2. Overall mortality was 7%. Average length of stay was 7.82±7.06 days (median 5.69), and was significantly longer in patients with renal impairment (8.9 vs. 8.18; p=0.03) and shorter in those with high initial blood pressure (6.08±4.03; p=0.009). Mean cost per patient was AR$68,861±96,066 (US$=8,071; 1US$=AR$8.532); 71% attributable to hospital stay, 20% to interventional procedures and 6.7% to diagnostic studies. Variables independently associated with higher costs were depressed ejection fraction, presence of valvular disease, and impaired renal function. Conclusions: Resource use and costs associated to hospitalizations for heart failure is high, and the highest proportion is attributable to the costs related to hospital stay.
Fil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Caporale Bec, Joaquín. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Fosco, Matías. Fundación Favaloro; Argentina
Fil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Diez, Mirta. Instituto Cardiovascular de Buenos Aires; Argentina
Fil: Thierer, Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET.; Argentina
Fil: Peradejordi Lastras, Margarita Ana. Fundación Favaloro; Argentina
Fil: Pichón-Riviere, Andrés. Instituto de Efectividad Clínica y Sanitaria; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Objectives: Heart failure has a great impact on health budget, mainly due to the cost of hospitalizations. Our aim was to describe health resource use and costs of heart failure admissions in three important institutions in Argentina. Methods: Multi-center retrospective cohort study, with descriptive and analytical analysis by subgroups of ejection fraction, blood pressure and renal function at admission. Generalized linear models were used to assess the association of independent variables to main outcomes. Results: We included 301 subjects; age 75.3±11.8 years; 37% women; 57% with depressed ejection fraction; 46% of coronary etiology. Blood pressure at admission was 129.8±29.7 mmHg; renal function 57.9±26.2 ml/min/1.73 m2. Overall mortality was 7%. Average length of stay was 7.82±7.06 days (median 5.69), and was significantly longer in patients with renal impairment (8.9 vs. 8.18; p=0.03) and shorter in those with high initial blood pressure (6.08±4.03; p=0.009). Mean cost per patient was AR$68,861±96,066 (US$=8,071; 1US$=AR$8.532); 71% attributable to hospital stay, 20% to interventional procedures and 6.7% to diagnostic studies. Variables independently associated with higher costs were depressed ejection fraction, presence of valvular disease, and impaired renal function. Conclusions: Resource use and costs associated to hospitalizations for heart failure is high, and the highest proportion is attributable to the costs related to hospital stay.
publishDate 2017
dc.date.none.fl_str_mv 2017-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/57558
Augustovski, Federico Ariel; Caporale Bec, Joaquín; Fosco, Matías; Alcaraz, Andrea; Diez, Mirta; et al.; Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina; Elsevier Inc; Value in Health Regional Issues; 14; 12-2017; 73-80
2212-1099
CONICET Digital
CONICET
url http://hdl.handle.net/11336/57558
identifier_str_mv Augustovski, Federico Ariel; Caporale Bec, Joaquín; Fosco, Matías; Alcaraz, Andrea; Diez, Mirta; et al.; Uso de recursos y costos de hospitalizaciones por insuficiencia cardíaca: un estudio retrospectivo multicéntrico en Argentina Resource use and costs of heart failure hospitalizations: retrospective multicenter study in Argentina; Elsevier Inc; Value in Health Regional Issues; 14; 12-2017; 73-80
2212-1099
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vhri.2017.08.008
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2212109917300663
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier Inc
publisher.none.fl_str_mv Elsevier Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.22299

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