The Direct and Indirect Cost Burden of AcuteCoronary Syndrome
- 1 January 2011
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Occupational and Environmental Medicine
- Vol. 53 (1), 2-7
- https://doi.org/10.1097/jom.0b013e31820290f4
Abstract
Quantify the incremental health care costs and workplace absence and short-term disability costs, to payers and employers, of patients hospitalized for acute coronary syndrome (ACS). Retrospective study using medical insurance claims for the years 2002 to 2007. Patients were aged 18 to 64 years and hospitalized for ACS between January 1, 2003, and December 31, 2006; comparison patients without evidence of coronary artery disease were also selected. The incremental impact of ACS was estimated using weighted regression. 30,200 ACS patients were selected. Incremental annual direct costs of ACS were $40,671 (P < 0.001). For the indirect cost sub-analyses, incremental short-term disability costs of ACS were $999 (P < 0.001) and incremental absence costs were insignificant (P = 0.314) but from a small sample (N = 416). Patients with ACS impose a substantial direct cost burden on employers and payers and a substantial indirect cost burden on employers. Acute coronary syndrome is more costly to employers and payers than other health conditions that are common among employed persons. Rehospitalizations after the initial hospitalization are common and represent a large portion of the cost.Keywords
This publication has 22 references indexed in Scilit:
- Heart Disease and Stroke Statistics—2009 UpdateCirculation, 2009
- One-year costs of ischemic heart disease among patients with acute coronary syndromes: findings from a multi-employer claims databaseCurrent Medical Research and Opinion, 2008
- Acute Coronary Care in the Elderly, Part ICirculation, 2007
- Decline in Rates of Death and Heart Failure in Acute Coronary Syndromes, 1999-2006JAMA, 2007
- Psychological and clinical predictors of return to work after acute coronary syndromeEuropean Heart Journal, 2006
- Total First-Year Costs of Acute Coronary Syndrome in a Managed Care SettingJournal of Managed Care Pharmacy, 2005
- ACC/AHA Guideline Update for the Management of Patients With Unstable Angina and Non–ST-Segment Elevation Myocardial Infarction—2002: Summary ArticleCirculation, 2002
- Baseline characteristics, management practices, and in-hospital outcomes of patients hospitalized with acute coronary syndromes in the Global Registry of Acute Coronary Events (GRACE)The American Journal of Cardiology, 2002
- The TIMI risk score for unstable angina/non-ST elevation MI - A method for prognostication and therapeutic decision makingJAMA, 2000
- Unstable Angina: Good Long-Term Outcome After a Complicated Early CourseJournal of the American College of Cardiology, 1998