The type of acute heart failure and the costs of hospitalization

Int J Cardiol. 2010 Nov 5;145(1):103-5. doi: 10.1016/j.ijcard.2009.05.058. Epub 2009 Jun 27.

Abstract

Background: The costs of different classes of acute HF (AHF) are not known.

Methods: AHF patients (N = 620) were divided in a national, prospective, observational study into five clinical classes: cardiogenic shock, pulmonary oedema, congestive HF, hypertensive HF, and right HF. Index episode and 6-month readmissions were assessed and hospitalization costs were evaluated.

Results: The length of index episode, ICU/CCU stay and costs of index episode and cumulative 6-month costs differed significantly between the clinical classes. The highest cumulative 6-month hospitalization costs, 25,963 (15,053-44778) € (mean, 95% confidence interval) incurred in cardiogenic shock, followed by pulmonary oedema, 12,912 (11,006-15,148) €, and congestive HF, 9475 (8550-10,500) €.

Conclusions: AHF leads to significant need for hospital care and high costs which differ significantly between clinical classes of AHF.

Publication types

  • Comparative Study
  • Letter
  • Multicenter Study

MeSH terms

  • Acute Disease
  • Costs and Cost Analysis / economics
  • Follow-Up Studies
  • Heart Failure / classification*
  • Heart Failure / economics*
  • Heart Failure / therapy
  • Hospital Costs* / trends
  • Hospitalization / economics*
  • Hospitalization / trends
  • Humans
  • Prospective Studies