Hospital Santa Marta, Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal; NOVA Medical School, Universidade Nova de Lisboa, Lisbon, Portugal.
Católica Lisbon School of Business and Economics, Lisbon, Portugal.
Rev Port Cardiol (Engl Ed). 2020 May;39(5):245-251. doi: 10.1016/j.repc.2019.09.010. Epub 2020 Jun 3.
Cardiovascular disease, and particularly myocardial infarction (MI), carries a significant economic burden, through productivity losses (indirect costs) associated with temporary absence from work, that has not yet been adequately studied in Portugal. Our objective was to quantify the indirect costs of MI in the first year after admission.
Consecutive patients admitted to a single center aged <66 years who survived to discharge during a one-year period were included. Employment status on admission was assessed and for every employed patient, their monthly wage was estimated from market wage rates taken from the Ministry of Labor database according to gender and age. The duration of temporary absence from work was assessed in follow-up contacts for up to one year. Indirect costs were calculated in this sample and the results were applied to the number of MIs in Portugal during 2016 and separately to ST-elevation MI (STEMI) and non-ST-elevation acute coronary syndrome.
A total of 219 patients were included, of whom 66.2% were working. The mean monthly labor cost was 1802 euros. A total cost of 760 521.55 euros was obtained. At national level there were 4133 patients aged <66 years admitted with acute MI who survived to discharge. Costs were higher in STEMI patients and the total indirect cost was estimated at 10.12 million euros.
In Portugal, the costs to society of disability-generated productivity losses exceed ten million euros in the first year after MI. Strategies to promote an earlier return to work are needed to lower these costs.
心血管疾病，特别是心肌梗死（MI），会带来巨大的经济负担，包括因临时缺勤而导致的生产力损失（间接成本），而这在葡萄牙尚未得到充分研究。我们的目的是量化 MI 患者入院后第一年的间接成本。
纳入了在一年期间内因 MI 住院且存活至出院的单中心连续患者。入院时评估就业状况，对于每一位有工作的患者，根据性别和年龄从劳动部门数据库中的市场工资率估算其月工资。通过在出院后一年内的随访联系评估其临时缺勤时间。在此样本中计算间接成本，并将结果应用于 2016 年葡萄牙的 MI 病例数，以及 ST 段抬高型心肌梗死（STEMI）和非 ST 段抬高型急性冠状动脉综合征（ACS）的病例数。
共纳入 219 例患者，其中 66.2%有工作。平均月劳动力成本为 1802 欧元。共获得 760521.55 欧元的总成本。在全国范围内，有 4133 名年龄<66 岁的急性 MI 患者存活至出院。STEMI 患者的成本更高，总间接成本估计为 1012 万欧元。
在葡萄牙，MI 后第一年因残疾导致的生产力损失造成的社会成本超过 1000 万欧元。需要采取策略促进患者更早地重返工作岗位，以降低这些成本。
