Long-term health-related burden of adult congenital heart diseases in Hong Kong.

Abstract:

:Aims: This study aimed to examine the long-term clinical and economic burden of adults with congenital heart disease (ACHD) in Hong Kong. Methods: It retrospectively analyzed 336 consecutive ACHD patients who attended the Adult Congenital Heart Clinic between January 1, 2009 and December 31, 2014. Direct medical costs and clinical outcomes over the 5 years were calculated and documented. The economic evaluation was from the hospital's perspective. Results: The median age of ACHD patients was 47 (31-62) years old, with female predominance (61.5%). Ventricular and atrial septal defects accounted for 70% and severe ACHD for 10% of the study cohort. The prevalence of arrhythmia and heart failure increased with the complexity of CHD. The total mean annual cost for managing each ACHD patient was USD 2,913. The annual cost of management of simple ACHD was USD 2,638 vs complex ACHD (USD 6,425) (p = 0.013). Conclusions: This study demonstrated severe ACHD patients accounted for higher cardiovascular morbidities in arrhythmias and heart failure with a higher cost of management.

journal_name

J Med Econ

authors

Lee VWY,Yan BP,Fong TMC,Fung AKP,Cheng FWT

doi

10.1080/13696998.2019.1613239

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

814-817

issue

8

eissn

1369-6998

issn

1941-837X

journal_volume

22

pub_type

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