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. 2016 Jul 21;4(3):E365-E370.
doi: 10.9778/cmajo.20150130. eCollection 2016 Jul-Sep.

The current and future financial burden of hospital admissions for heart failure in Canada: a cost analysis

Dat T Tran  1 , Arto Ohinmaa  1 , Nguyen X Thanh  1 , Jonathan G Howlett  1 , Justin A Ezekowitz  1 , Finlay A McAlister  1 , Padma Kaul  1
Affiliations

The current and future financial burden of hospital admissions for heart failure in Canada: a cost analysis

Dat T Tran et al. CMAJ Open. .

Abstract

Background: Heart failure is a costly health condition and a major public health concern. We sought to examine the costs of hospital admissions for heart failure between fiscal years 2004 and 2013 in Canada and to model the future costs to 2030.

Methods: Canadian Institutes for Health Information Discharge Abstract Database was used to identify admissions to hospital with heart failure as the primary diagnosis between fiscal years 2004 and 2013. Multiple linear regression models were used to calculate the trend in prevalence and extrapolate these to 2030. Canadian Institutes for Health Information patient cost estimates were used to identify costs of hospital admissions for heart failure. Generalized linear models were used to estimate average annual costs per heart failure patient. We conducted a sensitivity analysis including all admissions for heart failure in any diagnostic field.

Results: In 2013, 45 600 (95% confidence interval [CI]: 43 800-47 200) patients were admitted with heart failure as the primary diagnosis, accounting for $482 (95% CI $464-$500) million. By 2030, we estimate 54 000 (95% CI 49 000-60 000) patients and costs of $722 (95% CI $650-$801) million, with older adults (age ≥ 80 yr) accounting for 52% of costs. Including admissions for which heart failure was a secondary diagnosis increases the total cost to $2.8 (95% CI $2.6-$3.0) billion in 2030.

Interpretation: As in other developed countries, hospital costs related to heart failure in Canada are on the rise. Older adults are the main consumers of such hospital services. Strategies to improve outpatient care to reduce rates of admission for heart failure are needed.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Prevalence rates of hospital admissions for heart failure (HF) in Canada, 2004-2013.
Figure 2
Figure 2
Estimated admission costs for heart failure and number of heart failure patients, 2004-2013, and projected for 2014-2030 (in 2014 $ values). Error bars incidate 95% confidence intervals.
See this image and copyright information in PMC

References

    1. Bui AL, Horwich TB, Fonarow GC. Epidemiology and risk profile of heart failure. Nat Rev Cardiol. 2011;8:30–41. - PMC - PubMed
    1. Neumann T, Biermann J, Erbel R, et al. Heart failure: the commonest reason for hospital admission in Germany: medical and economic perspectives. Dtsch Arztebl Int. 2009;106:269–75. - PMC - PubMed
    1. Ross H, Howlett J, Arnold JM, et al. Treating the right patient at the right time: access to heart failure care. Can J Cardiol. 2006;22:749–54. - PMC - PubMed
    1. Heidenreich PA, Albert NM, Allen LA, et al. American Heart Association Advocacy Coordinating CommitteeCouncil on Arteriosclerosis, Thrombosis and Vascular BiologyCouncil on Cardiovascular Radiology and InterventionCouncil on Clinical CardiologyCouncil on Epidemiology and Prevention; Stroke Council. Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ Heart Fail. 2013;6:606–19. - PMC - PubMed
    1. Jhund PS, Macintyre K, Simpson CR, et al. Long-term trends in first hospitalization for heart failure and subsequent survival between 1986 and 2003: a population study of 5.1 million people. Circulation. 2009;119:515–23. - PubMed