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- W1983146851 abstract "To determine medical resource utilization and costs following hospitalization among elderly patients with chronic heart failure (HF). Patients 65 years and older, with ≥1 hospitalization with a chronic HF diagnosis (ICD-9 428.22, 428.32 or 428.42) were identified in the MarketScan® database between 2004 and 2008. Patients were observed starting 6 months prior to index chronic HF hospitalization (IH) until disenrollment or end of data availability. Resource use and costs during IH and subsequent 4 HF re-hospitalizations were calculated. Per patient per month (PPPM) utilization rates were calculated based on inpatient, outpatient and prescription data, and costs were estimated using Medicare reimbursement rates and Average Wholesale Price. A total of 5741 patients met the inclusion criteria. At least one HF re-hospitalization was observed in 25% of patients, representing ≥85% of all-cause hospitalizations. Mean HF hospital length of stay was 6.7 days at IH and 7.2 days at fourth HF re-hospitalization. IH was most costly ($12,426) relative to the mean cost per subsequent HF re-hospitalization ($9,832). HF re-hospitalization rates peaked at 0.062 PPPM 3-6 months post IH. All-cause and HF-related outpatient visit rates peaked at 4.1 and 0.65 visits PPPM, respectively, within three months after IH. Mean outpatient visit cost ranged from $668 (0-3 months) to $224 (18-24 months post IH). Total pharmacy costs varied from $593 PPPM (baseline period) to $848 PPPM (0-3 months post IH); of these, cardiovascular drugs accounted for about one third ranging from $162 (baseline) to $221 PPPM (0-3 months post IH). Treating elderly chronic HF patients is resource intensive and costly. Utilization and cost peak in the first three months post IH. New interventions to improve health outcomes in the elderly HF population hold the potential to decrease post IH resource utilization and save costs." @default.
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- W1983146851 date "2012-06-01" @default.
- W1983146851 modified "2023-10-16" @default.
- W1983146851 title "PCV102 Chronic Heart Failure in the Elderly: Costs and Resource Utilization Following Initial Hospitalizaton" @default.
- W1983146851 doi "https://doi.org/10.1016/j.jval.2012.03.705" @default.
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