Author + information
Congestive heart failure deaths in the U.S. range from 27-57 per 1,000 admissions. The estimated total cost of heart failure in 2010 was $39.2 billion dollars, accounting for 1-2% of health care spending. To better control costs we need to know more about specific patterns of care for inpatient admissions for heart failure.
We conducted a retrospective cohort study using data from hospitals in Premier's Perspective, a database measuring quality and use of healthcare. Patients in the study were 18 years of age or older who were admitted to the hospital for heart failure between January 2003 and December 2009. For patients with multiple admissions only data from the first admission was included. We identified costs of care during each admission for drugs, procedures, imaging, laboratory studies, nursing care and physician care. We then classified spending in each category as being for cardiovascular or other conditions.
For the 2.9 million patients hospitalized over the 7-year period of this study, the total costs were nearly $40 billion. Average cost per patient was $13,732. Total drug costs were $4.25 billion but heart failure and other cardiovascular drugs accounted for only 24% of those total drug costs. Procedure costs were $2.5 billion, with cardiovascular procedures totaling only 15% of those procedure costs. Imaging costs were $2.4 billion, with cardiovascular imaging costs making up 45% of the $2.4 billion. Total lab costs were $2.85 billion, with 35% of that total being cardiovascular-related labs. Room and board was nearly $17 billion. Nursing and physician care accounted for $847 million. Including room and board, nursing and physician care, cardiovascular costs accounted for 53% of all heart failure admission costs.
This study better clarifies the cardiovascular costs in inpatient heart failure admissions. In our study 53% of all costs were related to cardiovascular care illustrating the importance and economic burden of managing other comorbidities in this patient population. In order to control costs of heart failure care, while continuing to deliver quality care, more studies are needed that merge major categories of spending with quality outcomes.
Poster Sessions, Expo North
Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: Improving Heart Failure Outcomes
Abstract Category: 28. Quality of Care and Outcomes Assessment
Presentation Number: 1114-96
- 2013 American College of Cardiology Foundation