Patterns and costs of hospital care for coronary heart disease related and not related to diabetes.
To describe the epidemiology and costs of coronary heart disease (CHD) requiring hospital admission, with particular reference to diabetes.
Setting-The former South Glamorgan Health Authority, South Wales.
Methods-Routine hospital activity data were record linked and all diabetic and non-diabetic individuals over a four year period (1991-95) were identified.
A cost weight was included for each admission based on diagnosis related groups.
There were 10 214 patients admitted with a primary diagnostic code for CHD, representing an incidence of 6.3 per 1000 per annum.
Including all CHD and non-CHD admissions, these individuals were responsible for 17% of acute inpatient activity.
Men had a consistently higher age specific prevalence of CHD than women.
The age adjusted relative risk of CHD for patients with diabetes compared with those without was 4.1 for men and 5.5 for women.
Patients with diabetes accounted for 16.9% of CHD related admissions and had a fourfold increased probability of undergoing a cardiac procedure.
The total cost of CHD was estimated to be 6% of NHS revenue at 1994-95 pay and prices.
Patients with diabetes were responsible for 16% of this expenditure.
This translated to an estimated NHS acute hospital expenditure for CHD of £1.1 billion per year at 1994-95 pay and prices.
Conclusions-CHD was responsible for a larger proportion of NHS expenditure than had previously been reported. (...)
Mots-clés Pascal : Cardiopathie coronaire, Hospitalisation, Traitement, Epidémiologie, Homme, Coût, Diabète, Association morbide, Economie santé, Appareil circulatoire pathologie, Endocrinopathie
Mots-clés Pascal anglais : Coronary heart disease, Hospitalization, Treatment, Epidemiology, Human, Costs, Diabetes mellitus, Concomitant disease, Health economy, Cardiovascular disease, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0048154
Code Inist : 002B12A03. Création : 14/05/1998.