Economic burden of patients living with heart disease in the last years of life in Australia: a retrospective analysis using linked data

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Kularatna, Sanjeewa
Senanayake, Sameera
Parsonage, William
Jun, Deokhoon
McPhail, Steven
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2021
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Abstract

AIMS: People living with heart disease are at elevated risk of hospitalisation during the last years of their life. The aim of this study was to describe hospitalisation-related usage patterns, and associated cost burden, for patients living with heart disease in the last six years of their life. METHODS AND RESULTS: The study was an observational cohort study, using routinely collected and linked data from hospital admission, ED presentation and death registry data in Queensland, Australia. The study sample included 1000 randomly selected patients who died in 2017 due to any cause who had been living with heart disease for at least the prior six years. The two main outcomes of interest in this study were cost of hospital admissions (HA) and cost of emergency department presentation (ED) in the last six years before death. Total cost was calculated as a sum of direct and overhead costs from each of the hospital presentations.The mean HA per patient in the sixth year, second year and last year prior to death was 5.3, 6.6, and 7.5, respectively, with a similar pattern observed for ED presentations. The associated costs per patient from HA followed a similar trajectory increasing gradually from $17,711 in the sixth year to $26,658 in the second last year prior to death. A similar pattern was observed for ED presentation costs. CONCLUSION: The large increase cost in the last year of life was primarily attributable to higher treatment cost per hospital admission at end of life.

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European Heart Journal - Quality of Care and Clinical Outcomes

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This publication has been entered in Griffith Research Online as an advanced online version.

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Health services and systems

Public health

Health economics

End of life care

Heart disease

Hospital costs

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Kularatna, S; Senanayake, S; Parsonage, W; Jun, D; McPhail, S, Economic burden of patients living with heart disease in the last years of life in Australia; a retrospective analysis using linked data, European Heart Journal - Quality of Care and Clinical Outcomes, 2021

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