Cost of Out-of-Hospital Cardiac Arrest Survivors Compared with Matched Control Groups

Lola Qvist Kristensen; Maurits W van Tulder; Hans Eiskjær; Lotte Sørensen; Bettina Wulff Risør; Lisa Gregersen Oestergaard

doi:10.1016/j.resuscitation.2024.110239

Cost of Out-of-Hospital Cardiac Arrest Survivors Compared with Matched Control Groups

Lola Qvist Kristensen, Maurits W van Tulder, Hans Eiskjær, Lotte Sørensen, Bettina Wulff Risør, Lisa Gregersen Oestergaard

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

1 Citation (Scopus)

Abstract

INTRODUCTION: Societal costs of out-of-hospital cardiac arrest (OHCA) survivors may be extensive due to high health care utilization and sick leave. Knowledge of the costs of OHCA survivors may guide decision-makers to prioritize health resources.

AIM: The aims of the study were to evaluate the costs of OHCA survivors from a societal perspective, and to compare these costs to the costs of individuals with non-cardiac arrest myocardial infarction (MI) and individuals with no cardiac disease (non-CD).

METHODS: From the Danish OHCA Registers, survivors, with a cardiac arrest between 2005-2018 were identified. Each case was assigned one MI control and one non-CD control, matched on gender and age. Based on register data, costs of healthcare utilization, sick leave, vocational rehabilitation, disability pension and other social benefits one year before event and five years after, were estimated.

RESULTS: In total 5,646 OHCA survivors were identified with associated control groups. The mean costs for OHCA survivors during the 6-year period were €119,106 (95%CI: 116,297-121,916), with €83,472 (95%CI: 81,392-85,552) being healthcare costs. Mean costs of OHCA survivors were €49,132 higher than the MI-control group and €100,583 higher than the non-CD control group.

CONCLUSIONS: Total costs of OHCA survivors were considerably higher than costs of MI- and non-CD controls. Hospital costs were highest during the first year after event, and work inability during the second to fifth year with sick leave and later disability pension as main burdens.

Original language	English
Article number	110239
Journal	Resuscitation
Volume	199
Pages (from-to)	110239
ISSN	0300-9572
DOIs	https://doi.org/10.1016/j.resuscitation.2024.110239
Publication status	Published - Jun 2024

Keywords

Adult
Aged
Case-Control Studies
Cost of Illness
Denmark/epidemiology
Female
Health Care Costs/statistics & numerical data
Humans
Male
Middle Aged
Myocardial Infarction/economics
Out-of-Hospital Cardiac Arrest/economics
Patient Acceptance of Health Care/statistics & numerical data
Registries
Sick Leave/statistics & numerical data
Survivors/statistics & numerical data
Cardiac arrest
Societal costs
Health care utilization
Sick leave
Cost-of-illness

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10.1016/j.resuscitation.2024.110239Licence: CC BY

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@article{198aed3bc14e46fe9f3551db05fe2ecd,

title = "Cost of Out-of-Hospital Cardiac Arrest Survivors Compared with Matched Control Groups",

abstract = "INTRODUCTION: Societal costs of out-of-hospital cardiac arrest (OHCA) survivors may be extensive due to high health care utilization and sick leave. Knowledge of the costs of OHCA survivors may guide decision-makers to prioritize health resources.AIM: The aims of the study were to evaluate the costs of OHCA survivors from a societal perspective, and to compare these costs to the costs of individuals with non-cardiac arrest myocardial infarction (MI) and individuals with no cardiac disease (non-CD).METHODS: From the Danish OHCA Registers, survivors, with a cardiac arrest between 2005-2018 were identified. Each case was assigned one MI control and one non-CD control, matched on gender and age. Based on register data, costs of healthcare utilization, sick leave, vocational rehabilitation, disability pension and other social benefits one year before event and five years after, were estimated.RESULTS: In total 5,646 OHCA survivors were identified with associated control groups. The mean costs for OHCA survivors during the 6-year period were €119,106 (95%CI: 116,297-121,916), with €83,472 (95%CI: 81,392-85,552) being healthcare costs. Mean costs of OHCA survivors were €49,132 higher than the MI-control group and €100,583 higher than the non-CD control group.CONCLUSIONS: Total costs of OHCA survivors were considerably higher than costs of MI- and non-CD controls. Hospital costs were highest during the first year after event, and work inability during the second to fifth year with sick leave and later disability pension as main burdens.",

keywords = "Adult, Aged, Case-Control Studies, Cost of Illness, Denmark/epidemiology, Female, Health Care Costs/statistics & numerical data, Humans, Male, Middle Aged, Myocardial Infarction/economics, Out-of-Hospital Cardiac Arrest/economics, Patient Acceptance of Health Care/statistics & numerical data, Registries, Sick Leave/statistics & numerical data, Survivors/statistics & numerical data, Cardiac arrest, Societal costs, Health care utilization, Sick leave, Cost-of-illness",

author = "{Qvist Kristensen}, Lola and {van Tulder}, {Maurits W} and Hans Eiskj{\ae}r and Lotte S{\o}rensen and {Wulff Ris{\o}r}, Bettina and {Gregersen Oestergaard}, Lisa",

year = "2024",

month = jun,

doi = "10.1016/j.resuscitation.2024.110239",

language = "English",

volume = "199",

pages = "110239",

journal = "Resuscitation",

issn = "0300-9572",

publisher = "Elsevier Ireland Ltd",

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T1 - Cost of Out-of-Hospital Cardiac Arrest Survivors Compared with Matched Control Groups

AU - Qvist Kristensen, Lola

AU - van Tulder, Maurits W

AU - Eiskjær, Hans

AU - Sørensen, Lotte

AU - Wulff Risør, Bettina

AU - Gregersen Oestergaard, Lisa

PY - 2024/6

Y1 - 2024/6

N2 - INTRODUCTION: Societal costs of out-of-hospital cardiac arrest (OHCA) survivors may be extensive due to high health care utilization and sick leave. Knowledge of the costs of OHCA survivors may guide decision-makers to prioritize health resources.AIM: The aims of the study were to evaluate the costs of OHCA survivors from a societal perspective, and to compare these costs to the costs of individuals with non-cardiac arrest myocardial infarction (MI) and individuals with no cardiac disease (non-CD).METHODS: From the Danish OHCA Registers, survivors, with a cardiac arrest between 2005-2018 were identified. Each case was assigned one MI control and one non-CD control, matched on gender and age. Based on register data, costs of healthcare utilization, sick leave, vocational rehabilitation, disability pension and other social benefits one year before event and five years after, were estimated.RESULTS: In total 5,646 OHCA survivors were identified with associated control groups. The mean costs for OHCA survivors during the 6-year period were €119,106 (95%CI: 116,297-121,916), with €83,472 (95%CI: 81,392-85,552) being healthcare costs. Mean costs of OHCA survivors were €49,132 higher than the MI-control group and €100,583 higher than the non-CD control group.CONCLUSIONS: Total costs of OHCA survivors were considerably higher than costs of MI- and non-CD controls. Hospital costs were highest during the first year after event, and work inability during the second to fifth year with sick leave and later disability pension as main burdens.

AB - INTRODUCTION: Societal costs of out-of-hospital cardiac arrest (OHCA) survivors may be extensive due to high health care utilization and sick leave. Knowledge of the costs of OHCA survivors may guide decision-makers to prioritize health resources.AIM: The aims of the study were to evaluate the costs of OHCA survivors from a societal perspective, and to compare these costs to the costs of individuals with non-cardiac arrest myocardial infarction (MI) and individuals with no cardiac disease (non-CD).METHODS: From the Danish OHCA Registers, survivors, with a cardiac arrest between 2005-2018 were identified. Each case was assigned one MI control and one non-CD control, matched on gender and age. Based on register data, costs of healthcare utilization, sick leave, vocational rehabilitation, disability pension and other social benefits one year before event and five years after, were estimated.RESULTS: In total 5,646 OHCA survivors were identified with associated control groups. The mean costs for OHCA survivors during the 6-year period were €119,106 (95%CI: 116,297-121,916), with €83,472 (95%CI: 81,392-85,552) being healthcare costs. Mean costs of OHCA survivors were €49,132 higher than the MI-control group and €100,583 higher than the non-CD control group.CONCLUSIONS: Total costs of OHCA survivors were considerably higher than costs of MI- and non-CD controls. Hospital costs were highest during the first year after event, and work inability during the second to fifth year with sick leave and later disability pension as main burdens.

KW - Adult

KW - Aged

KW - Case-Control Studies

KW - Cost of Illness

KW - Denmark/epidemiology

KW - Female

KW - Health Care Costs/statistics & numerical data

KW - Humans

KW - Male

KW - Middle Aged

KW - Myocardial Infarction/economics

KW - Out-of-Hospital Cardiac Arrest/economics

KW - Patient Acceptance of Health Care/statistics & numerical data

KW - Registries

KW - Sick Leave/statistics & numerical data

KW - Survivors/statistics & numerical data

KW - Cardiac arrest

KW - Societal costs

KW - Health care utilization

KW - Sick leave

KW - Cost-of-illness

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U2 - 10.1016/j.resuscitation.2024.110239

DO - 10.1016/j.resuscitation.2024.110239

M3 - Journal article

C2 - 38750785

SN - 0300-9572

VL - 199

SP - 110239

JO - Resuscitation

JF - Resuscitation

M1 - 110239

ER -

Cost of Out-of-Hospital Cardiac Arrest Survivors Compared with Matched Control Groups

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Keywords

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