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Published in: BMC Cardiovascular Disorders 1/2018

Open Access 01-12-2018 | Research article

Predictors of high-cost hospitalization in the treatment of acute coronary syndrome in Asia: findings from EPICOR Asia

Authors: Stephen Jan, Stephen W-L. Lee, Jitendra P. S. Sawhney, Tiong K. Ong, Chee Tang Chin, Hyo-Soo Kim, Rungroj Krittayaphong, Vo T. Nhan, Stuart J. Pocock, Ana M. Vega, Nobuya Hayashi, Yong Huo

Published in: BMC Cardiovascular Disorders | Issue 1/2018

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Abstract

Background

The EPICOR Asia (long-tErm follow-uP of antithrombotic management patterns In acute CORonary syndrome patients in Asia) study (NCT01361386) was an observational study of patients hospitalized for acute coronary syndromes (ACS) enrolled in 218 hospitals in eight countries/regions in Asia. This study examined costs, length of stay and the predictors of high costs during an ACS hospitalization.

Methods and results

Data for patients hospitalized for an ACS (n = 12,922) were collected on demographics, medical history, event characteristics, socioeconomic and insurance status at discharge. Patients were followed up at 6 weeks’ post-hospitalization for an ACS event to assess associated treatment costs from a health sector perspective. Primary outcome was the incurring of costs in the highest quintile by country and index event diagnosis, and identification of associated predictors. Cost data were available for 10,819 patients. Mean length of stay was 10.1 days. The highest-cost countries were China, Singapore, and South Korea. Significant predictors of high-cost care were age, male sex, income, country, prior disease history, hospitalization in 3 months before index event, no dependency before index event, having an invasive procedure, hospital type and length of stay.

Conclusions

Substantial variability exists in healthcare costs for hospitalized ACS patients across Asia. Of concern is the observation that the highest costs were reported in China, given the rapidly increasing numbers of procedures in recent years.

Trial registration

Appendix
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Metadata
Title
Predictors of high-cost hospitalization in the treatment of acute coronary syndrome in Asia: findings from EPICOR Asia
Authors
Stephen Jan
Stephen W-L. Lee
Jitendra P. S. Sawhney
Tiong K. Ong
Chee Tang Chin
Hyo-Soo Kim
Rungroj Krittayaphong
Vo T. Nhan
Stuart J. Pocock
Ana M. Vega
Nobuya Hayashi
Yong Huo
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2018
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-018-0859-4

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