Abstract 305: Post-discharge Costs in Heart Failure: Kidney Disease Severity as a Key Contributor
| Autor: | Wing Chan, Jason P Swindle, Katherine Waltman Johnson, Laura K Becker, Cori Blauer Peterson, Aylin Riedel |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 7 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.7.suppl_1.305 |
| Popis: | Background: This study examined post-discharge costs among individuals hospitalized with heart failure (HF) by stage of chronic kidney disease (CKD). Methods: A retrospective claims-based study of medical and pharmacy data linked to laboratory results from a large US health plan (Jan2007-Sep2012) was conducted. Earliest inpatient stay with HF diagnosis was defined as index hospitalization. Post-index costs were calculated per-member-per-month (PMPM) for the subset of individuals with a post-discharge observation up to 6 months. Individuals were assigned to CKD stages 1-5 using the CKD-Epidemiology Collaboration Group equation. One-way ANOVA was used to examine differences in follow-up health care costs across CKD stages. Results: A total of 24,023 individuals hospitalized with HF (mean age 70 y, 51% female, 71% white, 65% Medicare Advantage) were included. Subjects with at least moderately reduced renal function (eGFR Conclusion: Findings from this study suggest that medical costs following HF hospitalization increase by severity of CKD stage, with HF-related costs comprising a large portion of inpatient and outpatient costs. |
| Databáze: | OpenAIRE |
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