Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12872-018-0859-4
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dc.titlePredictors of high-cost hospitalization in the treatment of acute coronary syndrome in Asia: Findings from EPICOR Asia
dc.contributor.authorJan, S
dc.contributor.authorLee, S.W.-L
dc.contributor.authorSawhney, J.P.S
dc.contributor.authorOng, T.K
dc.contributor.authorChin, C.T
dc.contributor.authorKim, H.-S
dc.contributor.authorKrittayaphong, R
dc.contributor.authorNhan, V.T
dc.contributor.authorPocock, S.J
dc.contributor.authorVega, A.M
dc.contributor.authorHayashi, N
dc.contributor.authorHuo, Y
dc.date.accessioned2020-10-27T10:09:35Z
dc.date.available2020-10-27T10:09:35Z
dc.date.issued2018
dc.identifier.citationJan, 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
dc.identifier.issn14712261
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/181193
dc.description.abstractBackground: 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).
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceUnpaywall 20201031
dc.subjectacute coronary syndrome
dc.subjectadult
dc.subjectage
dc.subjectArticle
dc.subjectAsia
dc.subjectChina
dc.subjectclinical outcome
dc.subjectcohort analysis
dc.subjectcontrolled study
dc.subjectcost benefit analysis
dc.subjectcountry economic status
dc.subjectdemography
dc.subjectfemale
dc.subjectfollow up
dc.subjecthealth care cost
dc.subjecthealth insurance
dc.subjecthospital
dc.subjecthospitalization cost
dc.subjecthuman
dc.subjectinvasive procedure
dc.subjectlength of stay
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmedical history
dc.subjectmiddle aged
dc.subjectnon ST segment elevation myocardial infarction
dc.subjectobservational study
dc.subjectoutcome assessment
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectsex
dc.subjectSingapore
dc.subjectSouth Korea
dc.subjectST segment elevation myocardial infarction
dc.subjectunstable angina pectoris
dc.subjectacute coronary syndrome
dc.subjectaged
dc.subjectclinical trial
dc.subjectcomparative study
dc.subjecteconomics
dc.subjecthealth care disparity
dc.subjecthealth care quality
dc.subjecthospital cost
dc.subjecthospitalization
dc.subjectmulticenter study
dc.subjectrisk factor
dc.subjecttime factor
dc.subjecttreatment outcome
dc.subjectAcute Coronary Syndrome
dc.subjectAged
dc.subjectAsia
dc.subjectFemale
dc.subjectHealthcare Disparities
dc.subjectHospital Costs
dc.subjectHospitalization
dc.subjectHumans
dc.subjectLength of Stay
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProcess Assessment (Health Care)
dc.subjectProspective Studies
dc.subjectRisk Factors
dc.subjectTime Factors
dc.subjectTreatment Outcome
dc.typeArticle
dc.contributor.departmentDUKE-NUS MEDICAL SCHOOL
dc.description.doi10.1186/s12872-018-0859-4
dc.description.sourcetitleBMC Cardiovascular Disorders
dc.description.volume18
dc.description.issue1
dc.description.page139
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