Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12872-018-0859-4
Title: Predictors of high-cost hospitalization in the treatment of acute coronary syndrome in Asia: Findings from EPICOR Asia
Authors: Jan, S
Lee, S.W.-L
Sawhney, J.P.S
Ong, T.K
Chin, C.T 
Kim, H.-S
Krittayaphong, R
Nhan, V.T
Pocock, S.J
Vega, A.M
Hayashi, N
Huo, Y
Keywords: acute coronary syndrome
adult
age
Article
Asia
China
clinical outcome
cohort analysis
controlled study
cost benefit analysis
country economic status
demography
female
follow up
health care cost
health insurance
hospital
hospitalization cost
human
invasive procedure
length of stay
major clinical study
male
medical history
middle aged
non ST segment elevation myocardial infarction
observational study
outcome assessment
priority journal
prospective study
sex
Singapore
South Korea
ST segment elevation myocardial infarction
unstable angina pectoris
acute coronary syndrome
aged
clinical trial
comparative study
economics
health care disparity
health care quality
hospital cost
hospitalization
multicenter study
risk factor
time factor
treatment outcome
Acute Coronary Syndrome
Aged
Asia
Female
Healthcare Disparities
Hospital Costs
Hospitalization
Humans
Length of Stay
Male
Middle Aged
Process Assessment (Health Care)
Prospective Studies
Risk Factors
Time Factors
Treatment Outcome
Issue Date: 2018
Citation: Jan, S, Lee, S.W.-L, Sawhney, J.P.S, Ong, T.K, Chin, C.T, Kim, H.-S, Krittayaphong, R, Nhan, V.T, Pocock, S.J, Vega, A.M, Hayashi, N, Huo, Y (2018). Predictors of high-cost hospitalization in the treatment of acute coronary syndrome in Asia: Findings from EPICOR Asia. BMC Cardiovascular Disorders 18 (1) : 139. ScholarBank@NUS Repository. https://doi.org/10.1186/s12872-018-0859-4
Rights: Attribution 4.0 International
Abstract: Background: The EPICOR Asia (long-tErm follow-uP of antithrombotic management patterns In acute CORonary syndrome patients in Asia) study (NCT01361386) was an observational study of patients hospitalized for acute coronary syndromes (ACS) enrolled in 218 hospitals in eight countries/regions in Asia. This study examined costs, length of stay and the predictors of high costs during an ACS hospitalization. Methods and results: Data for patients hospitalized for an ACS (n = 12,922) were collected on demographics, medical history, event characteristics, socioeconomic and insurance status at discharge. Patients were followed up at 6 weeks' post-hospitalization for an ACS event to assess associated treatment costs from a health sector perspective. Primary outcome was the incurring of costs in the highest quintile by country and index event diagnosis, and identification of associated predictors. Cost data were available for 10,819 patients. Mean length of stay was 10.1 days. The highest-cost countries were China, Singapore, and South Korea. Significant predictors of high-cost care were age, male sex, income, country, prior disease history, hospitalization in 3 months before index event, no dependency before index event, having an invasive procedure, hospital type and length of stay. Conclusions: Substantial variability exists in healthcare costs for hospitalized ACS patients across Asia. Of concern is the observation that the highest costs were reported in China, given the rapidly increasing numbers of procedures in recent years. © 2018 The Author(s).
Source Title: BMC Cardiovascular Disorders
URI: https://scholarbank.nus.edu.sg/handle/10635/181193
ISSN: 14712261
DOI: 10.1186/s12872-018-0859-4
Rights: Attribution 4.0 International
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