IMPACT OF PATIENT CARDIAC REHABILITATION PARTICIPATION AFTER CORONARY ARTERY BYPASS SURGERY ON TREATMENT COST AND INPUT PATTERN
https://doi.org/10.18705/2311-4495-2014-0-2-52-57
Abstract
The objective of the study was to assess the cost of treatment and input pattern of coronary heart disease patient 2-years treatment after coronary artery bypass surgery depending on cardiac rehabilitation participation. Average cost of treatment before surgery was 89 454,6 roubles per 1 person per year, whereof 53,4 % was hospital inpatient care cost. After coronary artery bypass surgery hospital inpatient care cost decreased by 18,5 times to 6,3 % of total cost by the end of the 2nd year in cardiac rehabilitation group patient (p < 0,001) and was 16,4 times less as in II group (p < 0,001). Emergency care cost decreased by 35,7 times and was 52,4-times less as in group II (p < 0,001). Out-patient treatment was a major part of cost - 45,2 % of total cost pattern. Saving on cost of I group patient treatment was 70 606,8 rubles per each person for 2 years. In summary, 2-years cardiac rehabilitation participation after coronary artery bypass surgery result in a decrease in hospital inpatient care cost by 10,4 times, emergency care cost - by 7,9 times, drug therapy cost - by 1,7 times.
About the Authors
Ekaterina I. Lubinskaya
Federal Almazov Medical Research Centre
Russian Federation
Russian Federation
O. B. Nikolaeva
Federal Almazov Medical Research Centre
Russian Federation
Russian Federation
E. A. Demchenko
Federal Almazov Medical Research Centre
Russian Federation
Russian Federation
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Review
For citations:
Lubinskaya E.I., Nikolaeva O.B., Demchenko E.A. IMPACT OF PATIENT CARDIAC REHABILITATION PARTICIPATION AFTER CORONARY ARTERY BYPASS SURGERY ON TREATMENT COST AND INPUT PATTERN. Translational Medicine. 2014;(2):52-57. (In Russ.) https://doi.org/10.18705/2311-4495-2014-0-2-52-57
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