Association of cardiovascular health screening with mortality, clinical outcomes, and health care cost: a nationwide cohort study.
Prev Med
; 70: 19-25, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25445334
ABSTRACT
OBJECTIVE:
To determine whether a cardiovascular disease (CVD) health screening program is associated with CVD-related health conditions, incidence of cardiovascular events, mortality, healthcare utilization, and costs.METHODS:
Cohort study of a 3% random sample of all Korea National Health Insurance members 40years of age or older and free of CVD or CVD-related health conditions was conducted. A total 443,337 study participants were followed-up from January 1, 2005 through December 31, 2010.RESULTS:
In primary analysis, the hazard ratios for CVD mortality, all-cause mortality, incident composite CVD events, myocardial infarction, cerebral infarction, and cerebral hemorrhage comparing participants who attended a screening exam during 2003-2004 compared to those who did not were 0.58 (95% CI 0.53-0.63), 0.62 (95% CI 0.60-0.64), 0.82 (95% CI 0.78-0.85), 0.84 (95% CI 0.75-0.93), 0.84 (95% CI 0.79-0.89), and 0.73 (95% CI 0.67-0.80), respectively. Screening attenders had higher rates of newly diagnosed hypertension, diabetes mellitus, and dyslipidemia, lower inpatient days of stay and cost, and lower outpatient cost compared to non-attenders.CONCLUSIONS:
Participation in CVD health screening was associated with lower rates of CVD, all-cause mortality, and CVD events, higher detection of CVD-related health conditions, and lower healthcare utilization and costs.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Cardiovasculares
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Aceitação pelo Paciente de Cuidados de Saúde
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Programas de Rastreamento
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Programas Nacionais de Saúde
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Health_economic_evaluation
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Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Prev Med
Ano de publicação:
2015
Tipo de documento:
Article