Background
Methods
Data collection
Quantification of resources
Resource valorization
Statistical analysis
Results
Characteristics | N (%) |
---|---|
Male gender | 181 (54.8) |
Mean age (years)* | 61 ± 10.3 |
Acute myocardial infarction | 204 (61.8) |
Unstable angina | 94 (28.5) |
Coronary artery bypass surgery | 102 (30.9) |
Stroke | 21 (6.4) |
Heart failure | 18 (5.5) |
Angioplasty | 169 (51.2) |
Diabetes mellitus | 115 (34.8) |
Arterial hypertension | 277 (83.9) |
Dyslipidemia | 185 (56.1) |
Current smoking | 53 (16.1) |
Previous smoking | 196 (59.4) |
Obesity | 86 (26.1) |
Overweight | 139 (42.1) |
Regular physical activity | 109 (33.0) |
CCS class | |
I | 241 (73.0) |
II | 68 (20.6) |
III | 17 (5.2) |
IV | 4 (1.2) |
Patient origin | |
Porto Alegre | 171 (51.8) |
Metropolitan region | 122 (37) |
Interior | 35 (10.6) |
Other states | 2 (0.6) |
SBP* | 138.7 (80–230) |
DBP* | 82.6 (50–160) |
Follow-up time** | 107.38 ± 2.62 |
Resources | US$ price |
---|---|
Consultations | 2.10 |
Hospitalization days* | NA |
ICU III days | 141.29 |
Procedures** | |
Coronary Angioplasty | 712.25 |
Primary Coronary Angioplasty (including catheterization) | 1303.28 |
Coronary Angioplasty with stent implantation | 1277.39 |
Coronary Angioplasty with two stents implantation | 2090.00 |
Cardiac catheterization | 365.84 |
Myocardial Revascularization with extracorporeal use | 3679.46 |
Diagnostic tests | |
Myocardial scintigraphy with dipiridamol | 113.48 |
Stress myocardial scintigraphy | 113.48 |
Resting myocardial scintigraphy | 106.41 |
Echocardiogram | 11.09 |
Stress echocardiogram | 45.83 |
Electrocardiogram | 1.43 |
Exercise test | 8.33 |
Holter | 8.33 |
Ambulatory Blood Pressure Monitoring | 2.80 |
BP Chest X-ray | 1.81 |
Venous color Doppler ultrasound | 11.00 |
Laboratory tests | |
Calcium | 0.51 |
CK | 1.02 |
CK-MB | 1.14 |
HDL and LDL cholesterol | 0.98 |
Total cholesterol | 0.51 |
Creatinine | 0.51 |
Glycemic curve | 1.01 |
Qualitative urinary test | 1.03 |
Phosphorus | 0.51 |
Glucose | 0.51 |
Glycosylated hemoglobin | 2.17 |
Potassium | 0.51 |
C Reactive protein | 0.79 |
Glutamic-oxaloacetic transaminase (GOT) | 0.56 |
Glutamic-pyruvic transaminase (GPT) | 0.56 |
Thyrotropin | 2.49 |
Triglycerides | 0.98 |
Troponin | 2.50 |
Urea | 0.51 |
Generic Drugs*** | |
Acetylsalicylic acid 100 mg | 0.06 |
Allopurinol 100 mg | 0.08 |
Amiodarone 200 mg | 0.26 |
Amlodipine 5 mg | 0.37 |
Atenolol 50 mg | 0.22 |
Atorvastatin 20 mg | 0.73 |
Captopril 12.5 mg | 0.16 |
Captopril 25 mg | 0.22 |
Captopril 50 mg | 0.46 |
Clopidogrel 70 mg | 1.45 |
Digoxin 0.25 mg | 0.10 |
Diltiazem 60 mg | 0.16 |
Enalapril 5 mg | 0.24 |
Enalapril 10 mg | 0.21 |
Enalapril 20 mg | 0.36 |
Furosemide 40 mg | 0.12 |
Hydrochlorothiazide 25 mg | 0.20 |
Glibenclamide 5 mg | 0.08 |
Isosorbide 10 mg | 0.08 |
Losartan 50 mg | 0.34 |
Lovastatin 20 mg | 0.41 |
Metformin 850 mg | 0.23 |
Metoprolol 100 mg | 0.19 |
Nifedipine 10 mg | 0.25 |
Omeprazole 20 mg | 0.25 |
Paracetamol 500 mg | 0.16 |
Pravastatin 10 mg | 0.44 |
Propranolol 40 mg | 0.06 |
Propranolol 80 mg | 0.09 |
Simvastatin 10 mg | 0.63 |
Simvastatin 40 mg | 0.51 |
Sustrate 10 mg | 0.13 |
Warfarin 5 mg | 0.10 |
Verapamil 80 mg | 0.20 |
Non-generic drugs*** | |
Benazepril 5 mg | 0.54 |
Sublingual Isosorbide-5 mononitrate | 0.11 |
Consultations | Laboratory tests | Diagnostic tests | Drugs | Transport | Catheterization | Total outpatient cost | |
---|---|---|---|---|---|---|---|
N | 330 | 326 | 325 | 330 | 330 | 208 | 330 |
Mean | 58.88 | 178.92 | 497.91 | 6.173.63 | 145.32 | 519.73 | 7372.53 |
Median | 58.72 | 149.96 | 407.31 | 5.518.92 | 74.03 | 341.51 | 6539.51 |
Minimum | 6.29 | 10.58 | 7.15 | 0.00 | 7.22 | 170.76 | 275.32 |
Maximum | 159.39 | 913.76 | 1742.44 | 23,560.92 | 4613.83 | 2788.11 | 26,193.39 |
Total | 19,428.67 | 58,328.71 | 161,819.60 | 2,037,297.67 | 47,954.91 | 108,104.27 | 243,293.83 |
Mean cost per hospitalization | US$ value |
---|---|
N | 251 |
Mean | 1976.21 |
Median | 1710.39 |
Standard deviation | 1231.69 |
Minimum | 103.82 |
Maximum | 11,014.21 |
Cumulative cost of hospitalizations | |
Mean | 6104.76 |
Median | 4086.02 |
Standard deviation | 5843.72 |
Minimum | 103.82 |
Maximum | 38,890.29 |
Total | 1,532,293.84 |
Costs per patient considering the outpatient and hospitalization basis | |
Mean | 12,015.84 |
Median | 9726.93 |
Standard deviation | 8134.67 |
Minimum | 275.32 |
Maximum | 59,437.76 |
Annual cost per patient | |
Mean | 1521.54 |
Median | 1217.10 |
Standard deviation | 1171.49 |
Minimum | 237.79 |
Maximum | 8171.83 |
Male | Female | P* | ||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1556.14 | 1171.74 | 1454.52 | 1298.85 | 0.884 | |
≤74 years | ≥ 75 years | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1508.29 | 1212.88 | 1649.38 | 1272.95 | 0.809 | |
Stroke | No Stroke | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1727.86 | 1301.13 | 1507.52 | 1199.09 | 0.158 | |
Unstable angina | No Unstable angina | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1742.73 | 1490.25 | 1433.45 | 1119.83 | 0.002 | |
CABS | No CABS | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1649.55 | 1422.75 | 1464.28 | 1156.82 | 0.01 | |
AMI | No AMI | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1578.52 | 1155.48 | 1429.29 | 1260.28 | 0.562 | |
Diabetes | No Diabetes | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1781.96 | 1500.19 | 1382.25 | 1144.14 | < 0.01 | |
Dyslipidemia | No Dyslipidemia | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1475.45 | 1158.71 | 1580.36 | 1265.95 | 0.271 | |
Hypertension | No Hypertension | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1568.30 | 1232.89 | 1277.17 | 1183.72 | 0.03 | |
BMI ≤ 29.9 | BMI ≥ 30 | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1451.13 | 1145.89 | 1629.54 | 1498.74 | 0.011 | |
Current smoking | No Current smoking | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1398.59 | 1059.38 | 1558.75 | 1179.43 | 0.838 | |
Previous smoking | No Previous smoking | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1678.31 | 1059.38 | 1523.99 | 1177.12 | 0.545 | |
Heart failure | No Heart failure | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 2323.57 | 1.482.99 | 1475.28 | 1209.04 | 0.179 | |
Angioplasty | No Angioplasty | |||||
Mean | Median | Mean | Median | |||
Annual cost per patient | 1832.63 | 1491.66 | 1195.00 | 976.29 | < 0.01 |