Background
Methods
Data Source & Patient Population
Hospitalizations Related to Atherothrombotic Disease
Hospitalization Costs Related to Atherothrombotic Disease
Hospitalization type | Costs (2002 $CAD) |
---|---|
Cerebrovascular
| |
Ischemic stroke | $7,793 |
TIA with no related procedures | $2,687 |
TIA with carotid endarterectomy | $4,689 |
Cardiovascular
| |
AMI with no surgical procedures
| |
AMI, unspecified cardiac condition | $3,805 |
AMI with CHF | $7,064 |
AMI with angina | $4,564 |
AMI with cardiogenic shock and/or PE | $16,252 |
AMI with surgical procedures
| |
AMI with CABG and CC | $18,564 |
AMI with CABG | $12,004 |
AMI with PCTA | $8,189 |
AMI with CC/angiography | $6,161 |
AMI with CHF and CC/angiography | $9,349 |
AMI with angina and CC/angiography | $6,661 |
AMI with permanent pacemaker | $7,379 |
Angina
| |
Angina as primary diagnosis | $2,352 |
UA with cardiac complication | $3,227 |
UA without cardiac complication | $2,144 |
UA with cardiogenic shock and/or PE | $16,253 |
Angina with surgical procedures
| |
UA or angina with CABG and CC | $18,564 |
UA or angina with CABG | $12,004 |
Angina w/o cardiac complication with PTCA or stent | $4,748 |
Angina with cardiac complication with PTCA or stent | $8,189 |
UA with CC/coronary angio | $5,803 |
UA with cardiac complications and CC/coronary angio | $8,774 |
Angina with CC/coronary angio | $3,740 |
Other cardiac problems
| |
CHF | $4,074 |
CHF with CC | $4,916 |
Arrhythmia/Conduction disorders no pacemaker | $2,159 |
Arrhythmia/Conduction disorders with permanent pacemaker | $7,379 |
Peripheral Vascular Disease
| |
PAD, no major vascular surgery | $4,273 |
PAD with aorto-iliac-femoral bypass graft | $11,403 |
PAD with intra-abdominal bypass graft | $11,403 |
PAD with other peripheral bypass graft | $4,017 |
PAD with lower limb Embolectomy | $4,017 |
PAD with upper limb or toe amputation | $9,239 |
PAD with foot amputation | $12,519 |
PAD with below the knee amputation | $12,344 |
PAD with above the knee amputation | $12,420 |
Major bleeds
| |
ICH, no surgical procedures | $12,134 |
GI bleed, no surgical procedures | $2,826 |
Hemorrhage, unspecified with no surgical procedures | $6,218 |
GI bleed with gastrectomy/other major gastric surgery | $11,050 |
GI bleed with endoscopy | $4,017 |
Study Follow-up
Data Analyses
Results
Patient Characteristics
Mortality & Morbidity
Study Measure | Death | MI | Ischemic stroke |
---|---|---|---|
Age at index diagnosis | 1.08†
| 1.02†
| 1.05†
|
Male gender | 1.28†
| 1.69†
| 1.32†
|
History of: | |||
MI | 1.06** | 1.66†
| 1.17* |
Stroke | 1.60†
| 1.29* | 3.11†
|
MI+stroke | 1.84†
| 1.76†
| 3.26†
|
Atrial fibrillation | 1.17** | -- | 1.64†
|
Angina | 0.84†
| 1.44†
| -- |
Heart failure | 1.89†
| -- | 1.18* |
Hypercholesterolemia | 0.77†
| -- | -- |
Hypertension | -- | 1.21** | 1.52†
|
Diabetes | 1.37†
| 1.49†
| -- |
TIA | 1.04 | -- | 1.61†
|
Interaction terms | |||
TIA × follow-up | 1.02* | -- | -- |
MIx follow-up | -- | -- | -- |
Stroke × follow-up | -- | -- | 0.95* |
MI + stroke × follow-up | 0.96* | -- | 0.93* |