Russian Heart Failure Journal 2005year Causes and cost characteristics of repeated hospitalizations in patients with chronic heart failure
Causes and cost characteristics of repeated hospitalizations
in patients with chronic heart failure
Lazebnik L.B., Drozdov V.N., Russkaya L.V., Gaynulin Sh.M
Urgency. High rate of repeated hospitalizations of patients with chronic heart failure (CHF) remains a serious problem of public health care. Aim. Analysis of causes for repeated hospitalizations in patients with CHF and implication of the causes in the growth of expenses for health care. Materials and methods. 484 patients with different stages of CHF admitted to a multi-type hospital were enrolled in the study. Clinical presentation was evaluated by the scale of clinical condition modified by V.Yu. Mareev. Exercise tolerance was evaluated by results of the 6-min test. Results of hematology and blood biochemistry were analysed, and echoCG and ECG were performed. Volume of medical care and therapy as well as rate of repeated hospitalizations were recorded over the next year. The one-year pharmaco-economic assessment of treatment was performed using a «cost of patient» criterion developed by authors. Results. 833 hospitalizations including 349 repeated ones were recorded. It was shown that the rate of hospitalizations including repeated ones was the highest among patients with II–III stage CHF, aged 60–79 years. The role of concurrent diseases (pneumonia, chronic obstructive lung disease, diabetes mellitus, chronic pyelonephritis, etc.) in hospitalization of patients with CHF was significant. The cost of managing one patient with IIB stage CHF was the highest. Inpatient treatment accounts for the main part of expenses. Repeated hospitalizations increased the «cost of patient» with IIB stage CHF by 64%.