Chung Ching-Hu
Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.
Int J Cardiol Heart Vasc. 2024 Aug 22;54:101495. doi: 10.1016/j.ijcha.2024.101495. eCollection 2024 Oct.
Tricuspid regurgitation (TR) is the most common tricuspid valve (TV) condition. However, little is known about the prevalence, clinical significance, or economic impact of TR, including TR with comorbid heart failure (HF).
Taiwan's National Health Insurance Research Database was used to perform a retrospective cohort study about patients with TR. The study included patients over the age of 18 with TR who provided data from January 2017 to December 2019. The cohorts were divided into six groups based on whether significant TR was present (sTR) or not (nsTR), and whether HF was present (HF) or not present (noHF), or inconclusive (incHF).
This study included 21,051 patients with TR. Patients with nsTR-noHF had an annualized healthcare burden of 0.36 all-cause hospitalizations, 3.26 days length of stay (LOS), and NTD 66,834 in expenses. sTR led to significant increases in healthcare utilization and expenditures. The annualized economic burden for sTR-noHF patients increased to 1.03 all-cause hospitalizations, 10.75 days LOS, and NTD 210,842 in expenses. Patients with sTR and HF had significantly higher healthcare utilization and expenditures; patients with sTR-HF had an annualized economic burden of 2.46 all-cause hospitalizations, 33.18 days LOS, and NTD 480,711 in spending.
TR patients with HF or sTR are more likely to be hospitalized, use more healthcare resources, and face higher financial burdens.
三尖瓣反流（TR）是最常见的三尖瓣疾病。然而，对于TR的患病率、临床意义或经济影响，包括合并心力衰竭（HF）的TR，人们了解甚少。
利用台湾国民健康保险研究数据库对TR患者进行回顾性队列研究。该研究纳入了2017年1月至2019年12月期间提供数据的18岁以上TR患者。根据是否存在严重TR（sTR）或无严重TR（nsTR），以及是否存在HF（HF）或无HF（noHF）或不确定（incHF），将队列分为六组。
本研究纳入了21,051例TR患者。nsTR-noHF患者的全因住院年度医疗负担为0.36次，住院时长为3.26天，费用为新台币66,834元。sTR导致医疗利用率和支出显著增加。sTR-noHF患者的年度经济负担增加到全因住院1.03次，住院时长10.75天，费用为新台币210,842元。合并sTR和HF的患者医疗利用率和支出显著更高；sTR-HF患者的年度经济负担为全因住院2.46次，住院时长33.18天，支出为新台币480,711元。
合并HF或sTR的TR患者更有可能住院，使用更多医疗资源，并面临更高的经济负担。
