| アブストラクト | BACKGROUND: With aging of the population, the economic burden associated with heart failure (HF) is expected to increase. However, little is known about the hospitalization costs associated with HF in Japan. Methods and Results: In this cross-sectional study, using data from The Japanese Registry of All Cardiac and Vascular Diseases (JROAD) and JROAD-Diagnosis Procedure Combination databases between 2012 and 2014, we evaluated hospitalization costs for acute cardiovascular diseases (CVDs), including HF. A total of $1,187 million/year (44% of the hospitalization costs for acute CVDs) was spent on patients with HF. We identified 273,865 patients with HF and the median cost per patient was $8,089 ($5,362-12,787) per episode. The top 1% of spenders accounted for 8% ($80 million/year), and the top 5% of spenders accounted for 22% ($229 million/year) of the entire cost associated with HF. The costs associated with HF for patients over 75 years of age accounted for 68% of the total cost. CONCLUSIONS: The costs associated with HF were higher than the hospitalization cost for any other acute CVD in Japan. Understanding how the total hospitalization cost is distributed may allow health providers to utilize limited resources more effectively for patients with HF. |
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| ジャーナル名 | Circulation journal : official journal of the Japanese Circulation Society |
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| 投稿日 | 2019/3/29 |
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| 投稿者 | Kanaoka, Koshiro; Okayama, Satoshi; Nakai, Michikazu; Sumita, Yoko; Nishimura, Kunihiro; Kawakami, Rika; Okura, Hiroyuki; Miyamoto, Yoshihiro; Yasuda, Satoshi; Tsutsui, Hiroyuki; Komuro, Issei; Ogawa, Hisao; Saito, Yoshihiko |
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| 組織名 | Department of Cardiovascular Medicine, Nara Medical University.;National Cerebral and Cardiovascular Center.;Department of Cardiovascular Medicine, Kyushu University Graduate School of;Medical Sciences.;Department of Cardiovascular Medicine, The University of Tokyo Graduate School of;Medicine. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/30918219/ |
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