Cardiovascular events, mortality, early retirement and costs in >50 000 persons with chronic heart failure in Sweden
Steen Carlsson, Katarina LU
; Faurby, Mads
; Nilsson, Kristoffer
and Wolden, Michael Lyng
(2023)
In ESC Heart Failure
- Abstract
Aims: We aimed to examine cardiovascular events (stroke and myocardial infarction [MI]), mortality, early retirement and economic costs over 5 years in people with chronic heart failure (CHF) and matched controls in Sweden. Methods and results: Individuals (aged ≥16 years) living in Sweden on 1 January 2012 were identified in an existing database. Individuals with CHF were propensity score matched to controls without CHF by birth year, sex and educational status. We analysed risks of stroke, MI, mortality and early retirement, and compared direct costs (inpatient care, outpatient care and drug costs) and indirect costs (work absence). After matching, there were 53 520 individuals in each cohort. In each cohort, mean age was 69.0 years... (More)
Aims: We aimed to examine cardiovascular events (stroke and myocardial infarction [MI]), mortality, early retirement and economic costs over 5 years in people with chronic heart failure (CHF) and matched controls in Sweden. Methods and results: Individuals (aged ≥16 years) living in Sweden on 1 January 2012 were identified in an existing database. Individuals with CHF were propensity score matched to controls without CHF by birth year, sex and educational status. We analysed risks of stroke, MI, mortality and early retirement, and compared direct costs (inpatient care, outpatient care and drug costs) and indirect costs (work absence). After matching, there were 53 520 individuals in each cohort. In each cohort, mean age was 69.0 years (standard deviation 8.2), and 29.7% of individuals were women. People with CHF were significantly more likely than controls to experience stroke (hazard ratio 1.46 [95% confidence interval 1.38–1.56]) and MI (1.61 [1.51–1.71]). All-cause mortality was nearly three-fold higher (2.89 [2.80–2.98]) and the likelihood of early retirement was more than three-fold higher (3.69 [3.08–4.42]). Total mean annual costs per person were €9663 (standard error 38) for people with CHF, of which 53% were direct costs, and €2845 (standard error 19) for controls, of which 40% were direct costs. In people with CHF, inpatient costs comprised 78% of total annual mean direct costs over follow-up, outpatient costs contributed 15% and drug costs contributed 8%. In controls, the corresponding proportions were 71%, 18% and 11%. Conclusions: CHF has a considerable impact on the risk of cardiovascular events and death, early retirement and economic costs. Inpatient admissions and work absence are major contributors to economic costs.
(Less)
- author
- Steen Carlsson, Katarina
LU
; Faurby, Mads
; Nilsson, Kristoffer
and Wolden, Michael Lyng
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- Absenteeism, Burden of illness, Chronic heart failure, Direct costs, Indirect costs, Mortality
- in
- ESC Heart Failure
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:37814495
- scopus:85173976004
- ISSN
- 2055-5822
- DOI
- 10.1002/ehf2.14480
- language
- English
- LU publication?
- yes
- id
- d0aac696-22c7-4e51-8c1b-c7c0cfcce920
- date added to LUP
- 2023-12-15 13:37:59
- date last changed
- 2024-04-14 05:26:32
@article{d0aac696-22c7-4e51-8c1b-c7c0cfcce920,
abstract = {{<p>Aims: We aimed to examine cardiovascular events (stroke and myocardial infarction [MI]), mortality, early retirement and economic costs over 5 years in people with chronic heart failure (CHF) and matched controls in Sweden. Methods and results: Individuals (aged ≥16 years) living in Sweden on 1 January 2012 were identified in an existing database. Individuals with CHF were propensity score matched to controls without CHF by birth year, sex and educational status. We analysed risks of stroke, MI, mortality and early retirement, and compared direct costs (inpatient care, outpatient care and drug costs) and indirect costs (work absence). After matching, there were 53 520 individuals in each cohort. In each cohort, mean age was 69.0 years (standard deviation 8.2), and 29.7% of individuals were women. People with CHF were significantly more likely than controls to experience stroke (hazard ratio 1.46 [95% confidence interval 1.38–1.56]) and MI (1.61 [1.51–1.71]). All-cause mortality was nearly three-fold higher (2.89 [2.80–2.98]) and the likelihood of early retirement was more than three-fold higher (3.69 [3.08–4.42]). Total mean annual costs per person were €9663 (standard error 38) for people with CHF, of which 53% were direct costs, and €2845 (standard error 19) for controls, of which 40% were direct costs. In people with CHF, inpatient costs comprised 78% of total annual mean direct costs over follow-up, outpatient costs contributed 15% and drug costs contributed 8%. In controls, the corresponding proportions were 71%, 18% and 11%. Conclusions: CHF has a considerable impact on the risk of cardiovascular events and death, early retirement and economic costs. Inpatient admissions and work absence are major contributors to economic costs.</p>}},
author = {{Steen Carlsson, Katarina and Faurby, Mads and Nilsson, Kristoffer and Wolden, Michael Lyng}},
issn = {{2055-5822}},
keywords = {{Absenteeism; Burden of illness; Chronic heart failure; Direct costs; Indirect costs; Mortality}},
language = {{eng}},
publisher = {{John Wiley & Sons Inc.}},
series = {{ESC Heart Failure}},
title = {{Cardiovascular events, mortality, early retirement and costs in >50 000 persons with chronic heart failure in Sweden}},
url = {{http://dx.doi.org/10.1002/ehf2.14480}},
doi = {{10.1002/ehf2.14480}},
year = {{2023}},
}