Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Patterns and costs of hospital care for coronary heart disease related and not related to diabetes

Currie, Craig John, Morgan, Christopher L. and Peters, J. R. 1997. Patterns and costs of hospital care for coronary heart disease related and not related to diabetes. Heart 78 (6) , pp. 544-549. 10.1136/hrt.78.6.544

Full text not available from this repository.

Abstract

Objective To describe the epidemiology and costs of coronary heart disease (CHD) requiring hospital admission, with particular reference to diabetes. Setting The former South Glamorgan Health Authority, South Wales. Methods Routine hospital activity data were record linked and all diabetic and non-diabetic individuals over a four year period (1991–95) were identified. A cost weight was included for each admission based on diagnosis related groups. Results There were 10 214 patients admitted with a primary diagnostic code for CHD, representing an incidence of 6.3 per 1000 per annum. Including all CHD and non-CHD admissions, these individuals were responsible for 17% of acute inpatient activity. Men had a consistently higher age specific prevalence of CHD than women. The age adjusted relative risk of CHD for patients with diabetes compared with those without was 4.1 for men and 5.5 for women. Patients with diabetes accounted for 16.9% of CHD related admissions and had a fourfold increased probability of undergoing a cardiac procedure. The total cost of CHD was estimated to be 6% of NHS revenue at 1994–95 pay and prices. Patients with diabetes were responsible for 16% of this expenditure. This translated to an estimated NHS acute hospital expenditure for CHD of £1.1 billion per year at 1994–95 pay and prices. Conclusions CHD was responsible for a larger proportion of NHS expenditure than had previously been reported. Nearly one in five acute hospital admissions were for patients whose condition included cardiac problems. The relation between diabetes and CHD was particularly evident, and may offer opportunities for disease prevention.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: BMJ Publishing Group
ISSN: 1355-6037
Last Modified: 04 Jun 2017 06:40
URI: http://orca-mwe.cf.ac.uk/id/eprint/63531

Citation Data

Cited 82 times in Google Scholar. View in Google Scholar

Cited 61 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item