التفاصيل البيبلوغرافية
| العنوان: |
Medicare Expenditures by Race/Ethnicity After Hospitalization for Heart Failure WithPreserved Ejection Fraction |
| المؤلفون: |
Ziaeian, Boback, Heidenreich, Paul A, Xu, Haolin, DeVore, Adam D, Matsouaka, Roland A, Hernandez, Adrian F, Bhatt, Deepak L, Yancy, Clyde W, Fonarow, Gregg C |
| المصدر: |
JACC Heart Failure, vol 6, iss 5 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2018 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Aging, Cardiovascular, Health Services, Clinical Research, Heart Disease, Black or African American, Aged, Cohort Studies, Ethnicity, Female, Health Expenditures, Heart Failure, Hispanic or Latino, Hospitalization, Humans, Male, Medicare, Middle Aged, Racial Groups, Stroke Volume, United States, BMI, CMS, diastolic heart failure, health care costs, health care disparities, heart failure with preserved ejection fraction, hospital readmissions |
| جغرافية الموضوع: |
388 - 397 |
| الوصف: |
ObjectivesThe purpose of this study was to analyze cumulative Medicare expenditures at index admission and after discharge by race or ethnicity.BackgroundHeart failure with preserved ejection fraction (HFpEF) is a growing proportion of heart failure (HF) admissions. Research on health care expenditures for patients with HFpEF is limited.MethodsRecords of patients discharged from the Get With The Guidelines-Heart Failure registry between 2006 and 2014 were linked to Medicare data. The primary outcome was unadjusted payments for acute care services. Comparisons between race/ethnic groups were made using generalized linear mixed models. Cost ratios were reported by race/ethnicity, and adjustments were made sequentially for patient characteristics, hospital factors, and regional socioeconomicstatus.ResultsMedian Medicare costs for index hospitalizations were $7,241 for the entire cohort, $7,049 for whites, $8,269 for blacks, $8,808 for Hispanics, $8,477 for Asians, and $8,963 for other races. Median costs at 30 days for readmitted patients were $9,803 and $17,456 for the entire cohort at 1-year. No significant differences were seen in index admissioncost ratios by race/ethnicity. At 30 days among readmitted patients, costs were 9% higher (95% confidence interval [CI]: 1% to 17%; p= 0.020) for blacks in the fully adjusted model than whites. At 1 year, costs were 14% higher (95% CI: 9% to 18%; p< 0.001) for blacks, 7% higher (95% CI: 0% to 14%; p= 0.041) for Hispanics, and 24% higher (95% CI: 8% to 42%; p= 0.003) for patients of other races. No significant differences between white and Asian expenditures were noted.ConclusionsMinority patients with HFpEF have greater acute care service costs. Further research of improving care delivery is needed to reduce acute care use for vulnerable populations. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt2df663r9; https://escholarship.org/uc/item/2df663r9Test |
| الإتاحة: |
https://escholarship.org/uc/item/2df663r9Test |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.DB4A94BC |
| قاعدة البيانات: |
BASE |
