Cost of an emerging epidemic: an economic analysis of atrial fibrillation in the UK

Stewart, S, Murphy, N, Walker, A, McGuire, A and McMurray, JJV (2004) Cost of an emerging epidemic: an economic analysis of atrial fibrillation in the UK. Heart, 90 3: 286-292. doi:10.1136/hrt.2002.008748


Author Stewart, S
Murphy, N
Walker, A
McGuire, A
McMurray, JJV
Title Cost of an emerging epidemic: an economic analysis of atrial fibrillation in the UK
Journal name Heart   Check publisher's open access policy
ISSN 1355-6037
Publication date 2004
Sub-type Article (original research)
DOI 10.1136/hrt.2002.008748
Volume 90
Issue 3
Start page 286
End page 292
Total pages 7
Editor R. Hall
Place of publication United Kingdom
Publisher BMJ Publishing Group
Collection year 2004
Language eng
Subject C1
321100 Nursing
Abstract Objective: To evaluate the cost of atrial fibrillation (AF) to health and social services in the UK in 1995 and, based on epidemiological trends, to project this estimate to 2000. Design, setting, and main outcome measures: Contemporary estimates of health care activity related to AF were applied to the whole population of the UK on an age and sex specific basis for the year 1995. The activities considered ( and costs calculated) were hospital admissions, outpatient consultations, general practice consultations, and drug treatment ( including the cost of monitoring anticoagulant treatment). By adjusting for the progressive aging of the British population and related increases in hospital admissions, the cost of AF was also projected to the year 2000. Results: There were 534 000 people with AF in the UK during 1995. The direct'' cost of health care for these patients was pound 244 million (similar toE350 million) or 0.62% of total National Health Service ( NHS) expenditure. Hospitalisations and drug prescriptions accounted for 50% and 20% of this expenditure, respectively. Long term nursing home care after hospital admission cost an additional pound46.4 million (similar toE66 million). The direct cost of AF rose to pound459 million (similar toE655 million) in 2000, equivalent to 0.97% of total NHS expenditure based on 1995 figures. Nursing home costs rose to pound111 million (similar toE160 million). Conclusions: AF is an extremely costly public health problem.
Keyword Cardiac & Cardiovascular Systems
National-health-service
Heart-failure
Case-fatality
General-practice
Trends
Prevalence
Scotland
Mortality
Renfrew/paisley
Study/
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2005 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 04:41:33 EST