Healthcare resource utilisation and associated costs after low-risk pulmonary embolism: pre-specified analysis of the Home Treatment of Pulmonary Embolism (HoT-PE) study.
Clin Res Cardiol
; 2024 Jan 03.
Article
en En
| MEDLINE
| ID: mdl-38170252
ABSTRACT
BACKGROUND:
Pulmonary embolism (PE) and its sequelae impact healthcare systems globally. Low-risk PE patients can be managed with early discharge strategies leading to cost savings, but post-discharge costs are undetermined.PURPOSE:
To define healthcare resource utilisation and overall costs during follow-up of low-risk PE.METHODS:
We used an incidence-based, bottom-up approach and calculated direct and indirect costs over 3-month follow-up after low-risk PE, with data from the Home Treatment of Patients with Low-Risk Pulmonary Embolism (HoT-PE) cohort study.RESULTS:
Average 3-month costs per patient having suffered low-risk PE were 7029.62 ; of this amount, 4872.93 were associated with PE, accounting to 69.3% of total costs. Specifically, direct costs totalled 3019.33 , and of those, 862.64 (28.6%) were associated with PE. Anticoagulation (279.00 ), rehospitalisations (296.83 ), and ambulatory visits (194.95 ) comprised the majority of the 3-month direct costs. The remaining costs amounting to 4010.29 were indirect costs due to loss of productivity.CONCLUSION:
In a patient cohort with acute low-risk PE followed over 3 months, the majority of costs were indirect costs related to productivity loss, whereas direct, PE-specific post-discharge costs were low. Effective interventions are needed to reduce the burden of PE and associated costs, especially those related to productivity loss.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Tipo de estudio:
Etiology_studies
/
Health_economic_evaluation
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Clin Res Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Alemania