Trends in Economic Burden and Mortality of Hospitalized Patients With Aortic Stenosis in Thailand
Issued Date
2023-10-15
Resource Type
ISSN
00029149
eISSN
18791913
Scopus ID
2-s2.0-85168596645
Journal Title
American Journal of Cardiology
Volume
205
Start Page
269
End Page
275
Rights Holder(s)
SCOPUS
Bibliographic Citation
American Journal of Cardiology Vol.205 (2023) , 269-275
Suggested Citation
Yadee J., Slisatkorn W., Singhatanadgige S., Porapakkham P., Permsuwan U. Trends in Economic Burden and Mortality of Hospitalized Patients With Aortic Stenosis in Thailand. American Journal of Cardiology Vol.205 (2023) , 269-275. 275. doi:10.1016/j.amjcard.2023.07.131 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/89140
Title
Trends in Economic Burden and Mortality of Hospitalized Patients With Aortic Stenosis in Thailand
Other Contributor(s)
Abstract
This study aimed to assess the temporal trends in aortic stenosis (AS)–related hospitalizations, in-hospital mortality, and economic burden in Thailand. The study cohort was derived from the electronic claim system of the National Health Security Office, which serves as a reimbursement database for all Thai beneficiaries under the Universal Health Coverage Scheme, covering ∼70% of the entire population. Hospitalization, mortality, and costs were estimated by year, with the primary diagnosis for AS-related hospitalizations identified using code I350. The Cochrane Armitage test was used to examine trends in AS-related hospitalization and in-hospital mortality, whereas a nonparametric trend test was used to analyze the trend of hospitalization costs. Of the 8-year period, 10,406 adults were admitted with a primary diagnosis of AS. AS-related hospitalizations increased from 1,274 in 2015 to 1,945 in 2022 (p = 0.251), with the most significant observed in the age group 60 to 79 years (p <0.001). In-hospital mortality increased from 4.8% to 6.1%. Hospitalization cost significantly increased from $2,879 to $3,443 (p <0.001), with an average length of stay of 6.6 ± 9.2 days. The trend of patients admitted with primary diagnosis of AS in Thailand has significantly increased in the age group 60 to 79 years. In-hospital admission is found at older age and is likely to have high mortality rate. The increased hospitalization cost may impose a substantial economic burden on the Thai health care system.