The impact of acute myocardial infarction and stroke on health care costs in patients with type 2 diabetes in Sweden.
Eur J Cardiovasc Prev Rehabil
; 16(5): 576-82, 2009 Oct.
Article
em En
| MEDLINE
| ID: mdl-19491686
ABSTRACT
BACKGROUND:
Estimates of the economic impact of cardiovascular events in patients with type 2 diabetes are scarce. The aim of this study was to determine the health care costs associated with acute myocardial infarction (AMI) and stroke in patients with type 2 diabetes in Sweden.DESIGN:
Population-based open cohort study of 9941 patients with type 2 diabetes retrospectively identified in primary care records at 26 centres in Uppsala County.METHODS:
Episodes of AMI and stroke suffered by study patients were tracked in the Swedish National Inpatient Register. Annual per patient costs of health care were computed for the years 2000-2004 using register data covering inpatient care, outpatient hospital care, primary care and drugs. Panel data regression was applied to determine the impact of suffering a first or repeat AMI or stroke on health care costs during the year of the event and in subsequent years.RESULTS:
Total health care costs of patients suffering a first AMI/stroke increased by 4.1/6.5 during the year of the event [95% confidence interval (CI) 3.1-5.4/4.9-8.5] and by 1.1/1.4 during subsequent years (95% CI 1.0-1.3/1.2-1.6), controlling for age, sex, the event of amputation and presence of renal failure, heart failure and diabetic eye disease. Total health care costs of patients suffering a first or repeat AMI/stroke increased by 4.1/6.4 during the year of an event (95% CI 3.2-5.2/5.0-8.1) but were not significantly higher during subsequent years.CONCLUSION:
Estimates of the costs related to major cardiovascular complications of type 2 diabetes are critical input to economic evaluations.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Custos de Cuidados de Saúde
/
Acidente Vascular Cerebral
/
Diabetes Mellitus Tipo 2
/
Infarto do Miocárdio
Tipo de estudo:
Etiology_studies
/
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Cardiovasc Prev Rehabil
Assunto da revista:
ANGIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Suécia