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. 2021 Mar 9;28(1):10.
doi: 10.5837/bjc.2021.010. eCollection 2021.

Study of patients with iron deficiency and HF in Ireland: prevalence and treatment budget impact

Bethany Wong  1 , Sandra Redmond  2 , Ciara Blaine  3 , Carol-Ann Nugent  3 , Lavanya Saiva  4 , John Buckley  5 , Jim O'Neill  6
Affiliations

Study of patients with iron deficiency and HF in Ireland: prevalence and treatment budget impact

Bethany Wong et al. Br J Cardiol. .

Abstract

This study aims to present the screening, prevalence and treatment of heart failure (HF) patients with iron deficiency in an Irish hospital and use an economic model to estimate the budget impact of treating eligible patients with intravenous ferric carboxymaltose (IV FCM). Retrospective data were collected on 151 HF patients over a one-year period from all newly referred HF patients to a secondary care hospital. This included 36 patients with preserved ejection fraction (HFpEF) and 115 with reduced ejection fraction (HPrEF). An existing budget impact model was adapted to incorporate Irish unit cost and resource use data to estimate the annual budget impact of treating patients with IV FCM. The total number of HFrEF patients who met criteria for iron replacement was 44 (38% of total HFrEF patients); of this, only nine (20%) were treated. The budget impact model estimates that treating all eligible patients with IV FCM in this single centre would save 40 bed-days and over €7,600/year. To improve the quality of life and reduce hospitalisation, further identification and treatment of iron deficient patients should be implemented. Expanding the use of IV iron nationally would be cost and bed saving.

Keywords: Ireland; budget impact; heart failure; iron deficiency.

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Conflict of interest statement

None declared.

Figures

Figure 1.
Figure 1.. Patient flow
Figure 2.
Figure 2.. Breakdown of estimated budget impact
See this image and copyright information in PMC

References

    1. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016;37:2129–2200. doi: 10.1093/eurheartj/ehw128. - DOI - PubMed
    1. The Heartbeat Trust . Dublin: The Heartbeat Trust; Nov, 2015. The cost of heart failure in Ireland. Available from: https://static.rasset.ie/documents/news/cost-of-heart-failure-report-web....
    1. van Riet EES, Hoes AW, Limburg A, et al. Prevalence of unrecognized heart failure in older persons with shortness of breath on exertion. Eur J Heart Fail. 2014;16:772–777. doi: 10.1002/ejhf.110. - DOI - PubMed
    1. Healthcare Pricing Office . Dublin: Health Service Executive (Ireland); 2017. Activity in acute public hospitals in Ireland 2018. Available from: http://hpo.ie/latest_hipe_nprs_reports/HIPE_2017/HIPE_Report_2017.pdf.
    1. Desai AS, Stevenson LW. Rehospitalisation for heart failure, predict or prevent. Circulation. 2012;126:501–550. doi: 10.1161/CIRCULATIONAHA.112.125435. - DOI - PubMed

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