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Indirect Costs of Myocardial Infarction in Portugal

2020-05Journal article Open access
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dc.contributor.authorTimóteo, AT
dc.contributor.authorGouveia, M
dc.contributor.authorSoares, C
dc.contributor.authorCruz Ferreira, R
dc.date.accessioned2021-07-16T14:06:32Z
dc.date.available2021-07-16T14:06:32Z
dc.date.issued2020-05
dc.description.abstractIntroduction: Cardiovascular disease, and particularly myocardial infarction (MI), carries a significant economic burden, through productivity losses (indirect costs) associated with temporary absence from work, that has not yet been adequately studied in Portugal. Our objective was to quantify the indirect costs of MI in the first year after admission. Methods: Consecutive patients admitted to a single center aged <66 years who survived to discharge during a one-year period were included. Employment status on admission was assessed and for every employed patient, their monthly wage was estimated from market wage rates taken from the Ministry of Labor database according to gender and age. The duration of temporary absence from work was assessed in follow-up contacts for up to one year. Indirect costs were calculated in this sample and the results were applied to the number of MIs in Portugal during 2016 and separately to ST-elevation MI (STEMI) and non-ST-elevation acute coronary syndrome. Results: A total of 219 patients were included, of whom 66.2% were working. The mean monthly labor cost was 1802 euros. A total cost of 760 521.55 euros was obtained. At national level there were 4133 patients aged <66 years admitted with acute MI who survived to discharge. Costs were higher in STEMI patients and the total indirect cost was estimated at 10.12 million euros. Conclusions: In Portugal, the costs to society of disability-generated productivity losses exceed ten million euros in the first year after MI. Strategies to promote an earlier return to work are needed to lower these costs.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cardiol (Engl Ed). 2020 May;39(5):245-251.pt_PT
dc.identifier.doi10.1016/j.repc.2019.09.010pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3776
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Españapt_PT
dc.subjectAcute Coronary Syndromept_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectCost of Illnesspt_PT
dc.subjectEmploymentpt_PT
dc.subjectFemalept_PT
dc.subjectFollow-Up Studiespt_PT
dc.subjectHospitalizationpt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectMyocardial Infarctionpt_PT
dc.subjectNon-ST Elevated Myocardial Infarctionpt_PT
dc.subjectPatient Dischargept_PT
dc.subjectPortugalpt_PT
dc.subjectReturn to Workpt_PT
dc.subjectST Elevation Myocardial Infarctionpt_PT
dc.subjectWorkers' Compensationpt_PT
dc.subjectHSM CARpt_PT
dc.titleIndirect Costs of Myocardial Infarction in Portugalpt_PT
dc.title.alternativeCustos Indiretos do Enfarte Agudo do Miocárdio em Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage251pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage245pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologiapt_PT
oaire.citation.volume39pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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