Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction

Kai-li Fu,1 Guan-qi Fan,1 Lu Han,1 Xiao-zhen Wang,2 Jia Wang,1 Yu-shu Wang,1 Ming Zhong,1 Yun Zhang,1 Wei Zhang,1 Zhi-hao Wang31Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Public Health, and Department of Cardiology, Qilu H...

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Autores principales:	Fu KL, Fan GQ, Han L, Wang XZ, Wang J, Wang YS, Zhong M, Zhang Y, Zhang W, Wang ZH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	diabetes aging vascular economic Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a7e9b0e2a7ac4450a32045cedc286edc
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spelling	oai:doaj.org-article:a7e9b0e2a7ac4450a32045cedc286edc2021-12-02T04:02:45ZImpact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction1178-1998https://doaj.org/article/a7e9b0e2a7ac4450a32045cedc286edc2014-04-01T00:00:00Zhttps://www.dovepress.com/impact-of-type-2-diabetes-mellitus-on-hospitalization-costs-in-older-p-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kai-li Fu,1 Guan-qi Fan,1 Lu Han,1 Xiao-zhen Wang,2 Jia Wang,1 Yu-shu Wang,1 Ming Zhong,1 Yun Zhang,1 Wei Zhang,1 Zhi-hao Wang31Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Public Health, and Department of Cardiology, Qilu Hospital of Shandong University, 2Shandong University of Traditional Chinese Medicine, 3Department of Geriatric Medicine, Qilu Hospital of Shandong University, Ji'nan, People's Republic of ChinaBackground: The purpose of this study was to evaluate the impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction (MI).Methods: Retrospective analysis of data from the case retrieval system of Qilu Hospital of Shandong University located in Jinan city of Shandong Province was done for patients with acute MI from January 1, 2011 to December 31, 2012.Results: Stenting was an important factor affecting older patients' total hospitalization costs (β=0.685, P=0.000) and treatment costs during the follow-up period (duration of hospital stay only, β=0.508, P=0.000). Stenting was also a protective factor in the prevention of acute heart failure (HF) in older patients with acute MI during the follow-up period (odds ratio 0.189, 95% confidence interval 0.059–0.602, P=0.005). Implementation of percutaneous coronary intervention reduced the incidence of acute HF in older inpatients with acute MI (27.8% versus 4.3%, P=0.001) and without diabetes (18.2% versus 3.8%, P=0.001). Moreover, among the elderly, the incremental cost-effectiveness ratio estimate for implementing percutaneous coronary intervention in diabetic patients was higher than in nondiabetic patients.Conclusion: Stenting was a protective factor for preventing acute HF in the elderly during the follow-up period. From the perspective of reducing the incidence of acute HF in inpatients, implementation of percutaneous coronary intervention after an acute MI is more cost-effective in older patients with diabetes mellitus than in those without it.Keywords: diabetes, aging, myocardial infarction, hospitalization costs, vascularFu KLFan GQHan LWang XZWang JWang YSZhong MZhang YZhang WWang ZHDove Medical Pressarticlediabetes aging vascular economicGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 711-718 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes aging vascular economic Geriatrics RC952-954.6
spellingShingle	diabetes aging vascular economic Geriatrics RC952-954.6 Fu KL Fan GQ Han L Wang XZ Wang J Wang YS Zhong M Zhang Y Zhang W Wang ZH Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
description	Kai-li Fu,1 Guan-qi Fan,1 Lu Han,1 Xiao-zhen Wang,2 Jia Wang,1 Yu-shu Wang,1 Ming Zhong,1 Yun Zhang,1 Wei Zhang,1 Zhi-hao Wang31Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Public Health, and Department of Cardiology, Qilu Hospital of Shandong University, 2Shandong University of Traditional Chinese Medicine, 3Department of Geriatric Medicine, Qilu Hospital of Shandong University, Ji'nan, People's Republic of ChinaBackground: The purpose of this study was to evaluate the impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction (MI).Methods: Retrospective analysis of data from the case retrieval system of Qilu Hospital of Shandong University located in Jinan city of Shandong Province was done for patients with acute MI from January 1, 2011 to December 31, 2012.Results: Stenting was an important factor affecting older patients' total hospitalization costs (β=0.685, P=0.000) and treatment costs during the follow-up period (duration of hospital stay only, β=0.508, P=0.000). Stenting was also a protective factor in the prevention of acute heart failure (HF) in older patients with acute MI during the follow-up period (odds ratio 0.189, 95% confidence interval 0.059–0.602, P=0.005). Implementation of percutaneous coronary intervention reduced the incidence of acute HF in older inpatients with acute MI (27.8% versus 4.3%, P=0.001) and without diabetes (18.2% versus 3.8%, P=0.001). Moreover, among the elderly, the incremental cost-effectiveness ratio estimate for implementing percutaneous coronary intervention in diabetic patients was higher than in nondiabetic patients.Conclusion: Stenting was a protective factor for preventing acute HF in the elderly during the follow-up period. From the perspective of reducing the incidence of acute HF in inpatients, implementation of percutaneous coronary intervention after an acute MI is more cost-effective in older patients with diabetes mellitus than in those without it.Keywords: diabetes, aging, myocardial infarction, hospitalization costs, vascular
format	article
author	Fu KL Fan GQ Han L Wang XZ Wang J Wang YS Zhong M Zhang Y Zhang W Wang ZH
author_facet	Fu KL Fan GQ Han L Wang XZ Wang J Wang YS Zhong M Zhang Y Zhang W Wang ZH
author_sort	Fu KL
title	Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
title_short	Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
title_full	Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
title_fullStr	Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
title_full_unstemmed	Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
title_sort	impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/a7e9b0e2a7ac4450a32045cedc286edc
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Impact of type 2 diabetes mellitus on hospitalization costs in older patients with acute myocardial infarction

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