Indirect costs of myocardial infarction in Portugal

Timóteo, Ana Teresa; Gouveia, Miguel; Soares, Cristina; Ferreira, Rui Cruz

doi:10.1016/j.repc.2019.09.010

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…Cardiovascular disease (CVD) is the principal cause of mortality worldwide, which determines high costs of medical care [ 2 , 14 , 15 , 16 , 17 , 18 , 19 ]. In order to predict CVD, based on general determinants, Mozos [ 20 ] reviewed the main literature on CVD and risk factors linked to shift work (hypertension, cardiac arrhythmia, coronary heart disease, stroke, arterial stiffness, and early arterial aging).…”

Section: Introductionmentioning

confidence: 99%

“…Results showed that a lower median household income and yearly average concentrations of fine dust particles (PM 2.5) were the most significant factors explaining CVD mortality, thus calling for an assessment of policies and interventions aimed at improving socio-economic and environmental status. On the other hand, Timóteo et al [ 19 ] highlighted that CVD determines a considerable consumption of healthcare resources and MI (myocardial infarction)-related loss of labor productivity (indirect costs) in Portugal of over 10 million Euros. The analysis involved 299 patients admitted to a single center aged under 66 years and included demographic characteristics, clinical variables, treatment, and outcome as well as employment status and monthly wage.…”

Section: Introductionmentioning

confidence: 99%

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Identification of Health Expenditures Determinants: A Model to Manage the Economic Burden of Cardiovascular Disease

Salvatore

Spada

Fortunato

et al. 2021

IJERPH

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The purpose of this paper is to investigate the determinants influencing the costs of cardiovascular disease in the regional health service in Italy’s Apulia region from 2014 to 2016. Data for patients with acute myocardial infarction (AMI), heart failure (HF), and atrial fibrillation (AF) were collected from the hospital discharge registry. Generalized linear models (GLM), and generalized linear mixed models (GLMM) were used to identify the role of random effects in improving the model performance. The study was based on socio-demographic variables and disease-specific variables (diagnosis-related group, hospitalization type, hospital stay, surgery, and economic burden of the hospital discharge form). Firstly, both models indicated an increase in health costs in 2016, and lower spending values for women (p < 0.001) were shown. GLMM indicates a significant increase in health expenditure with increasing age (p < 0.001). Day-hospital has the lowest cost, surgery increases the cost, and AMI is the most expensive pathology, contrary to AF (p < 0.001). Secondly, AIC and BIC assume the lowest values for the GLMM model, indicating the random effects’ relevance in improving the model performance. This study is the first that considers real data to estimate the economic burden of CVD from the regional health service’s perspective. It appears significant for its ability to provide a large set of estimates of the economic burden of CVD, providing information to managers for health management and planning.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Identification of Health Expenditures Determinants: A Model to Manage the Economic Burden of Cardiovascular Disease

Salvatore

Spada

Fortunato

et al. 2021

IJERPH

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“…CVD and particularly myocardial infarction (MI), also carry a signi cant economic burden, through productivity losses (indirect costs) associated with temporary absence from work [9]. One study which investigated the indirect costs of MI in Portugal found that the costs to society of disability-generated productivity losses exceed ten million euros in the rst year after MI [9].…”

Section: Introductionmentioning

confidence: 99%

Health Literacy And Health-Related Quality of Life Among Patients With Cardiovascular Disease in Tagus Valley Regional Health Hospital, Portugal: A Cross-Sectional Study

Winarni

Amendoeira

Esparteiro

2021

Preprint

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Purpose The aims of this study were to examine the association between health literacy (HL) and health-related quality of life (HRQoL) and to investigate the possible determinants of both variables among patients with cardiovascular diseases in Tagus Valley Regional Health Hospital, Portugal.Methods A descriptive cross-sectional study was conducted among 28 patients with CVD. A convenient sampling technique was used to enrol the study participants. Data were collected using a validated Portuguese version of Short Assessment of Health Literacy (SAHPLA-23) and a validated Portuguese version of Short Form Health Survey (SF-36v2). The multiple linear regression was used to investigate the possible associated variables and the association between HL and HRQoL by using SPSS version 25.Results The results showed the majority of patients with CVD had inadequate HL (89.3%). The majority of the participants had poor HRQoL with Physical Component Score (PCS) scored lower (38.77±9.9) than the Mental Component Score (MCS) (44.13±9.9). Educational level was found to be associated with HL. Level of education, employment status, family history of CVD and history of readmission because of CVD were the variables found to be associated with the PCS. However, no variable was found to be associated with the MCS of QoL. HL was shown to be the best predictor of the PCS (β=0.518, p=0.002) while the history of readmission because of CVD was identified as the second-best predictor of the PCS (β=-0.373, p=0.022). Conclusions Health literacy was significantly associated with the PCS of HRQoL.

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“…A recent contribution published in the Journal was a paper by Timóteo et al 2 that studied the indirect costs of myocardial infarction (MI) in the first year after admission. The study included 219 patients from a major cardiac center, of whom 66.2% were working.…”

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confidence: 99%