[急性心肌梗死治疗的成本：突尼斯的经验]

[The cost of acute myocardial infarction management: the Tunisian experience].

作者信息

Aounallah Skhiri Hajer, Ben Abdelkrim Imen, Ouldezein Horma, Arfa Chokri, Ben Romdhane Habiba, Kafsi Mohamed N, Belhani Ali, Haoula Habib, Mechmèche Rachid, Boujnah Rachid, Kachboura Salem, Achour Noureddine, Gueddiche Mohamed

机构信息

Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.

出版信息

Tunis Med. 2005 May;83 Suppl 5:24-9.

PMID:16094847

Abstract

OBJECTIVE

To assess the medical direct cost of acute myocardial infarction.

METHOD

Data are recorded through a prospective study in 7 wards of cardiology of the District of Tunis during one year: from November 2001 to October 2002. Cost of hospital stay, biologic analyses, drugs, functional investigations and possible non surgical cardiologic intervention (IC) was calculated.

RESULTS

632 AMI cases are recorded, the death rate is 7.8%. The average of hospital stay was 13.3 days. 49.1% of patients benefited from thrombolytic therapy, 55.5% benefited from a coronary angiography and 16.1% of an act of IC. The mean of direct cost (CGM) was 2171 Tunisian Dinars and the median was 1731 DT, of whom room costs 31.7%, 22.5% acts of IC, 7.2% drugs, 26.2% functional investigations and 12.4% biological analyses. The mean cost of IC was 3030 +/- 401 DT.

CONCLUSION

The methodology of our study remains original in our country and can be used to assess the other aspects of AMI as other diseases cost management.

摘要

目的

评估急性心肌梗死的医疗直接成本。

方法

通过对突尼斯市某区7个心内科病房进行为期一年（2001年11月至2002年10月）的前瞻性研究记录数据。计算住院费用、生物学分析、药物、功能检查以及可能的非手术心脏介入治疗（IC）的费用。

结果

记录了632例急性心肌梗死病例，死亡率为7.8%。平均住院时间为13.3天。49.1%的患者接受了溶栓治疗，55.5%的患者接受了冠状动脉造影，16.1%的患者接受了IC治疗。直接成本（CGM）的均值为2171突尼斯第纳尔，中位数为1731第纳尔，其中病房费用占31.7%，IC治疗费用占22.5%，药物费用占7.2%，功能检查费用占26.2%，生物学分析费用占12.4%。IC治疗的平均费用为3030±401第纳尔。