Burden of Chronic Heart Failure in Romania

Chronic heart failure (CHF) affects millions of people across the world, with increasing trends in prevalence, putting ever increasing pressure on the healthcare system. The aim of this study was to assess the financial burden of CHF hospital care on the public healthcare sector in Romania by estima...

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Bibliographic Details
Published in:Healthcare (Basel) 2022-01, Vol.10 (1), p.107
Main Authors: Lorenzovici, László, Bârzan-Székely, Andrea, Farkas-Ráduly, Szabolcs, Pană, Bogdan C, Csanádi, Marcell, Chiriac, Nona Delia, Kaló, Zoltán
Format: Article
Language:English
Subjects:
Age
burden of disease
Cardiovascular disease
CHF
chronic heart failure
cost of hospitalization
Health care industry
Health care policy
Heart failure
Hospital costs
Hospitalization
Hypertension
Intensive care
Length of stay
Medical supplies
Patients
Reimbursement
Romania
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Summary:Chronic heart failure (CHF) affects millions of people across the world, with increasing trends in prevalence, putting ever increasing pressure on the healthcare system. The aim of this study was to assess the financial burden of CHF hospital care on the public healthcare sector in Romania by estimating the number of inpatient episodes and the associated costs. Additionally, societal costs associated with missed work and premature death of CHF patients were also estimated. The national claims database was analyzed to estimate the number of CHF patients. Cost data was extracted from a pool of nine public hospitals in Romania. In 2019, 375,037 CHF patient episodes were identified on specific wards at the national level. The average cost calculated for the selected nine hospitals was EUR 996. The calculated weighted national average cost per patient episode was EUR 1002, resulting in a total cost of EUR 376 million at the national level. The cost of workdays missed summed up to EUR 122 million, while the annual costs associated with the premature death of CHF patients was EUR 230 million. In conclusion, the prevalence of CHF in Romania is high, accounting for a large proportion of hospitalizations, which translates into large costs for the national payer.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare10010107