Healthcare-service utilization and direct costs throughout ten years following acute myocardial infarction: Soroka Acute Myocardial Infarction II (SAMI II) Project

Objective: acute myocardial infarction (AMI) is associated with significant risk for long-term morbidity and healthcare expenditure. We investigated healthcare utilization and direct costs throughout 10-years following AMI. Methods: a retrospective study included AMI patients hospitalized in a terti...

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Bibliographic Details
Main Authors: Ygal Plakht, Gilutz, Harel, Jonatan Eli Arbelle, Greenberg, Dan, Shiyovich, Arthur
Format: Text
Language:unknown
Published: Taylor & Francis 2019
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Online Access:https://dx.doi.org/10.6084/m9.figshare.7594991.v1
https://tandf.figshare.com/articles/Healthcare-service_utilization_and_direct_costs_throughout_ten_years_following_acute_myocardial_infarction_Soroka_Acute_Myocardial_Infarction_II_SAMI_II_Project/7594991/1
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Summary:Objective: acute myocardial infarction (AMI) is associated with significant risk for long-term morbidity and healthcare expenditure. We investigated healthcare utilization and direct costs throughout 10-years following AMI. Methods: a retrospective study included AMI patients hospitalized in a tertiary medical center throughout 2002-2012. Data were obtained from computerized medical records. Hospitalizations, emergency department (ED), primary care and outpatient consulting clinic visits and other ambulatory services, following the AMI and their costs, were compared with the year preceding the AMI. Results: overall 9,548 patients were analyzed (age 66.6 ± 13.9 years, 67.8% men, 48.1% STEMI). A significant increase in the utilization of all the evaluated services was observed in the first year following the AMI compared with the preceding year (p Conclusions: healthcare utilization and economic expenditure peak throughout the first year and decline afterwards. For several services it remains higher up to 10-years compared with the year preceding the AMI.