Abstract
Was conducted a retrospective study of the cost of initial management of cases of acute coronary syndrome in the San Ignacio University Hospital of Bogota, in the period between January and October 2010.
Objective: Make an estimate of the average medical cost and total mean for Colombia’s first acute care of these events.
Methods: We studied 213 patients who were confirmed as ACS with an average stay of 7 days, with a maximum of 55 days and at least 1 day.
Result: We found overall average total cost $ 7,781,230 pesos, general drugs of $ 1,948,366 pesos and $ 1,948,366 $ 103,572 pesos. Reference to the expected cases of ACS for a year as adjusted for mortality estimates a projected annual medical cost anticipated or planned for Colombia (exchange rate used $ 1,850 pesos per dollar) US$ 228,886,152.00 and US$ 42,325, 685 for Bogota.
Conclusions: The cost of initial care of acute ACS care in Colombia is a middle position in the references used, notwithstanding that the material presented is estimated that every year means a major medical cost of nearly a quarter of a billion dollars for the country and more forty million dollars to Bogotá. Finally this paper only provides an initial approach that provides data to serve as reference for other institutions to develop their own studies and make follow-ups about it.
Mendoza B, Fernán del C, Isaza R, D, Beltrán P, R et al. Guías colombianas de cardiología. Síndrome coronario agudo con elevación del ST. Revista Colombiana de Cardiología. 2010; 17,S.3:134.
Mendoza B. Fernán del C, Isaza R, D, Beltrán P, R et al. Guías colombianas de cardiología. Síndrome coronario agudo con elevación del ST. Revista Colombiana de Cardiología. 2010; 17,S.3:134.
Cassiani M, CA. Cabrera G, A. Síndromes coronarios agudos: epidemiología y diagnóstico. Salud Uninorte. Barranquilla (Col.) 2009;25(1):118-34.
DANE. Proyecciones de población. Colombia. Proyecciones de población departamentales y municipales por área 2005 - 2020. Fecha de consulta: 11 de noviembre de 2010. Disponible en: http://www.dane.gov.co/files/investigaciones/poblacion/proyepobla06_20/ProyeccionMunicipios2005_2020.xls
Cassiani M, CA. Cabrera G, A. Síndromes coronarios agudos: epidemiología y diagnóstico. Salud Uninorte. Barranquilla (Col.) 2009;25(1):118-34.
Goff DC, Milton Z, Nichaman, Wenyaw Chan et al. Greater Incidence of
Hospitalized Myocardial Infarction Among Mexican Americans Than Non-
Hispanic Whites. The Corpus Christi Heart Project, 1988-1992. Circulation. 1997;95:1433-40. Fecha de consulta: 19 de noviembre de 2010. Disponible en: http://circ.ahajournals.org/cgi/
content/full/95/6/1433
Moleerergpoom W, Kanjanavanit R, Jintapakorn W, Sritara P et al. Costs of Payment in Thai Acute Coronary Syndrome Patients. J Med Assoc Thai. 2007;90(Suppl. 1):21-30.
Gregory A. Nichols, Timothy J. Bell, MHA; Kathryn L. Pedula, MS et al.
Medical Care Costs Among Patients With Established Cardiovascular
Disease. Am J Manag Care. 2010; 16(3):e86- e93.
Access economics: The economic costs of heart attack and chest pain (Acute Coronary Syndrome), Canberra, Eli Lily, 2009. Fecha de consulta: 21 de noviembre de 2010. Disponible en: http://www.bakeridi.edu.au/Assets/F i l e s / F u l l R e p o r t % 2 0 % 2 0 t h e %20economic %20costs%20of% 20heart%20attack%20and%20chest %20pain%20(emilable.pdf
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.