Azambuja Maria Inês Reinert, Foppa Murilo, Maranhão Mário Fernando de Camargo, Achutti Aloyzio Cechella
Faculdade de Medicina, Universidade Federal do Rio Grande do Sul.
Arq Bras Cardiol. 2008 Sep;91(3):148-55, 163-71. doi: 10.1590/s0066-782x2008001500005.
The scarce amount of data available in Brazil on the economic burden of cardiovascular diseases (CVD) does not justify the growing concern in regard to the economic burden involved.
The present study aims at estimating the costs of severe CVD cases in Brazil.
Cases of severe CVD were estimated based on hospitalized cases lethality and total CVD mortality rates. National data bases and sample studies were used to estimate costs of hospitalization, outpatient care, and social security benefits. Loss of income was estimated from the Burden of Disease in Brazil data.
Approximately two million cases of severe CVD were reported in 2004 in Brazil. That accounts for 5.2% of the population over 35 years of age. The resulting annual cost was at least R$ 30.8 billion (36.4% for health care, 8.4% for social security and employers' reimbursements, and 55.2% due to loss in productivity). That corresponded to R$ 500.00 per capita (considering 35 year-old and older population) and R$ 9,400.00 per patient. Direct costs with health care from severe CVD cases accounted for 8% of total national expenditure on health and 0.52% of 2004 GNP (R$ 1,767 billion = US$ 602 billion). That corresponded to an yearly average direct cost of R$182.00 per capita (R$ 87.00 from public resources) and of R$ 3,514.00 per case.
Total annual costs per severe CVD case were estimated to be significant. Costs per capita and total costs corresponding to this sub-group of CVD patients are expected to escalate as the population ages and the prevalence of severe cases increases.
巴西关于心血管疾病（CVD）经济负担的可用数据稀缺，这无法解释人们对其所涉经济负担日益增长的担忧。
本研究旨在估算巴西严重心血管疾病病例的成本。
基于住院病例死亡率和心血管疾病总死亡率估算严重心血管疾病病例。使用国家数据库和抽样研究来估算住院、门诊护理和社会保障福利的成本。收入损失根据巴西疾病负担数据进行估算。
2004年巴西报告了约200万例严重心血管疾病病例。这占35岁及以上人口的5.2%。由此产生的年度成本至少为308亿雷亚尔（医疗保健占36.4%，社会保障和雇主报销占8.4%，生产力损失占55.2%）。这相当于人均500雷亚尔（考虑35岁及以上人口）和每位患者9400雷亚尔。严重心血管疾病病例的医疗保健直接成本占国家卫生总支出的8%，占2004年国民生产总值（1.767万亿雷亚尔 = 6020亿美元）的0.52%。这相当于人均每年平均直接成本182雷亚尔（公共资源为87雷亚尔）和每例3514雷亚尔。
估计每例严重心血管疾病病例的年度总成本很高。随着人口老龄化和严重病例患病率增加，这一亚组心血管疾病患者的人均成本和总成本预计将上升。
