Estimated annual healthcare costs after acute pulmonary embolism: results from a prospective multicentre cohort study
Patients surviving acute pulmonary embolism (PE) necessitate long-term treatment and follow-up. We estimated, the chronic economic impact of PE on the German healthcare system.We calculated the direct cost of illness during the first year after discharge for the index PE, analysing data from a multi...
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2024
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| In: |
European heart journal - quality of care and clinical outcomes
Year: 2025, Jahrgang: 11, Heft: 3, Pages: 334-342 |
| ISSN: | 2058-1742 |
| DOI: | 10.1093/ehjqcco/qcae050 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1093/ehjqcco/qcae050
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| Verfasserangaben: | Katharina Mohr, Philipp Mildenberger, Thomas Neusius, Konstantinos C Christodoulou, Ioannis T Farmakis, Klaus Kaier, Stefano Barco, Frederikus A Klok, Lukas Hobohm, Karsten Keller, Dorothea Becker, Christina Abele, Leonhard Bruch, Ralf Ewert, Irene Schmidtmann, Philipp S Wild, Stephan Rosenkranz, Stavros V Konstantinides, Harald Binder, and Luca Valerio, The FOCUS Investigators |
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| 245 | 1 | 0 | |a Estimated annual healthcare costs after acute pulmonary embolism |b results from a prospective multicentre cohort study |c Katharina Mohr, Philipp Mildenberger, Thomas Neusius, Konstantinos C Christodoulou, Ioannis T Farmakis, Klaus Kaier, Stefano Barco, Frederikus A Klok, Lukas Hobohm, Karsten Keller, Dorothea Becker, Christina Abele, Leonhard Bruch, Ralf Ewert, Irene Schmidtmann, Philipp S Wild, Stephan Rosenkranz, Stavros V Konstantinides, Harald Binder, and Luca Valerio, The FOCUS Investigators |
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| 520 | |a Patients surviving acute pulmonary embolism (PE) necessitate long-term treatment and follow-up. We estimated, the chronic economic impact of PE on the German healthcare system.We calculated the direct cost of illness during the first year after discharge for the index PE, analysing data from a multicentre prospective cohort study in Germany. Main and accompanying readmission diagnoses were used to calculate DRG-based hospital reimbursements; anticoagulation costs were estimated from the exact treatment duration and each drug's unique national identifier; and outpatient post-PE care costs from guidelines-recommended algorithms and national reimbursement catalogues. Of 1017 patients enrolled at 17 centres, 958 (94%) completed ≥3-month follow-up; of those, 24% were rehospitalized (0.34 [95% CI 0.30-0.39] readmissions per PE survivor). Age, coronary artery, pulmonary and kidney disease, diabetes, and (in the sensitivity analysis of 837 patients with complete 12-month follow-up) cancer, but not recurrent PE, were independent cost predictors by hurdle gamma regression accounting for zero readmissions. The estimated rehospitalization cost was €1138 (95% CI 896-1420) per patient. Anticoagulation duration was 329 (IQR 142-365) days, with estimated average per-patient costs of €1050 (median 972; IQR 458-1197); costs of scheduled ambulatory follow-up visits amounted to €181. Total estimated direct per-patient costs during the first year after PE ranged from €2369 (primary analysis) to €2542 (sensitivity analysis).By estimating per-patient costs and identifying cost drivers of post-PE care, our study may inform decisions concerning implementation and reimbursement of follow-up programmes aiming at improved cardiovascular prevention. | ||
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