Acute cardiac care & resuscitation
Resource Utilization and Costs Associated With Cardiogenic Shock Complicating Myocardial Infarction: A Population-Based Cohort Study
Authors' conclusion
AMI-CS is associated with significant health care costs, both during the index hospitalization and following discharge.
Study context
- Population
- Adults with cardiogenic shock due to acute MI (AMI-CS), Ontario, Canada, April 2009–March 2019
- Participants
- 9,789 adults135 centres
- Outcome
- Health care costs and resource use
- Follow-up
- 1 year following index admission
Methodological details135 centres, administrative data
- 135 centres
- Administrative data
Main finding
As reported in the abstract
Cost per patient
Median inpatient cost per patient (IQR $12,234-$41,833)
$23,912
Median total 1-year cost (IQR $20,113-$66,582)
$37,913
Observational data: associations, not effects.
Further findings
| Outcome | Died in hospital | Survived to discharge |
|---|---|---|
| Median 1-year cost by in-hospital survivalMedian $ | 17,730 (IQR $9,323-$38,379) | 45,713 (IQR $29,688-$77,683) |
| Cost after discharge (median, IQR $4,262-$35,275) | — not stated in the abstract | $12,719 |
— not stated in the abstract
Mortality
- In-hospital mortality
- 30.2%
- Mortality at 2 years
- 45.9%
Cost by revascularization strategy
- CABG incurred the highest cost among revascularization groups
Cost per fiscal year 2009–2019
- No significant differences in cost per fiscal year
Original publication
Resource Utilization and Costs Associated With Cardiogenic Shock Complicating Myocardial Infarction: A Population-Based Cohort Study. JACC Adv. Published 2 July 2024. doi:10.
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