Attendance-related healthcare resource utilisation and costs in patients with Brugada Syndrome in Hong Kong: A retrospective cohort study.
Journal article
Lee, Sharen, Chung, Cheuk To, Chou, Oscar Hou In, Lee, Teddy Tai Loy, Radford, Danny, Jeevaratnam, Kamalan, Wong, Wing Tak, Cheng, Shuk Han, Mok, Ngai Shing, Liu, Tong and Tse, Gary 2022. Attendance-related healthcare resource utilisation and costs in patients with Brugada Syndrome in Hong Kong: A retrospective cohort study. Current Problems in Cardiology. 48 (2), p. 101513. https://doi.org/10.1016/j.cpcardiol.2022.101513
| Authors | Lee, Sharen, Chung, Cheuk To, Chou, Oscar Hou In, Lee, Teddy Tai Loy, Radford, Danny, Jeevaratnam, Kamalan, Wong, Wing Tak, Cheng, Shuk Han, Mok, Ngai Shing, Liu, Tong and Tse, Gary |
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| Abstract | Understanding healthcare resource utilisation and its associated costs are important for identifying areas of improvement regarding resource allocations. However, there is limited research exploring this issue in the setting of Brugada syndrome (BrS). This was a retrospective territory-wide study of BrS patients from Hong Kong. Healthcare resource utilisation for accident and emergency (A&E), inpatient and specialist outpatient attendances were analysed over a 19-year period, with their associated costs presented in US dollars. A total of 507 BrS patients with a mean presentation age of 49.9 ± 16.3 years old were included. Of these, 384 patients displayed spontaneous type 1 electrocardiographic (ECG) Brugada pattern and 77 patients had presented with ventricular tachycardia/ventricular fibrillation (VT/VF). At the individual patient level, the median annualised costs were $110 (52-224) at the (A&E) setting, $6812 (1982-32414) at the inpatient setting and $557 (326-1001) for specialist outpatient attendances. Patients with initial VT/VF presentation had overall greater costs in inpatient ($20161 [9147-189215] vs. $5290 [1613-24937],p<0.0001) and specialist outpatient setting ($776 [438-1076] vs. $542 [293-972],p=0.015) compared to those who did not present VT. In addition, patients without Type 1 ECG pattern had greater median costs in the specialist outpatient setting ($7036 [3136-14378] vs. $4895 [2409-10554],p=0.019). There is a greater healthcare demand in the inpatient and specialist outpatient settings for BrS patients. The most expensive attendance type was inpatient setting stay at $6812 per year. The total median annualised cost of BrS patients without VT/VF presentation was 78% lower compared to patients with VT/VF presentation. [Abstract copyright: Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.] |
| Keywords | Healthcare resource utilisation; Costs; Brugada syndrome; Hong Kong |
| Year | 2022 |
| Journal | Current Problems in Cardiology |
| Journal citation | 48 (2), p. 101513 |
| Publisher | Elsevier |
| ISSN | 1535-6280 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.cpcardiol.2022.101513 |
| Official URL | https://www.sciencedirect.com/science/article/pii/S0146280622004108 |
| Publication dates | |
| Online | 19 Nov 2022 |
| Feb 2023 | |
| Publication process dates | |
| Accepted | 13 Nov 2022 |
| Deposited | 07 Dec 2022 |
| Publisher's version | License |
| Output status | Published |
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https://repository.canterbury.ac.uk/item/934w5/attendance-related-healthcare-resource-utilisation-and-costs-in-patients-with-brugada-syndrome-in-hong-kong-a-retrospective-cohort-study
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