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Journal : Heart Science Journal

Determinants of cost discrepancies in inpatients with acute decompensated heart failure Arisandi, Jeffri; Lorensia, Amelia; Rahem, Abdul
Heart Science Journal Vol. 6 No. 1 (2025): Challenges in Managing Acute Heart Failure
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.01.13

Abstract

BACKGROUND: Acute decompensated heart failure (ADHF) is a prevalent and complex condition that significantly burdens healthcare systems, requiring intensive care and leading to high treatment costs. OBJECTIVES: This study aims to identify factors influencing cost discrepancies in hospitalized ADHF patients. METHODS: This retrospective study was conducted at Universitas Brawijaya Hospital from July to August 2024. Data were collected from 86 ADHF patients who were hospitalized between January 2021 and December 2023. Information regarding the patients' clinical conditions, comorbidities, and medical procedures was extracted from their case histories. Statistical analyses included t-tests and Mann-Whitney tests. RESULTS: In this study of 86 individuals with ADHF, 58.1% were over 65 years old, 31.4% were between 45 and 64 years old, and 10.5% were between 18 and 44 years old. By classification of care, 58.1% were admitted for Class 1 care, 30.2% for Class 2, and 11.6% for Class 3. Our findings indicated that the costs of treatment for patients with moderate and severe diseases were higher as compared to those of mild severity. Patients who had a length of stay over 7 days had higher costs than the ones whose length of stay was 1 to 3 days. Furthermore, Class 2 care was associated with higher costs than Class 3 care. The analysis also revealed that an increase in the number of comorbidities and medical procedures corresponded with higher treatment costs. CONCLUSION: This study identified factors that increase the cost of treatment for patients with ADHF.
Determinants of cost discrepancies in inpatients with acute decompensated heart failure Arisandi, Jeffri; Lorensia, Amelia; Rahem, Abdul
Heart Science Journal Vol. 6 No. 1 (2025): Challenges in Managing Acute Heart Failure
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.01.13

Abstract

BACKGROUND: Acute decompensated heart failure (ADHF) is a prevalent and complex condition that significantly burdens healthcare systems, requiring intensive care and leading to high treatment costs. OBJECTIVES: This study aims to identify factors influencing cost discrepancies in hospitalized ADHF patients. METHODS: This retrospective study was conducted at Universitas Brawijaya Hospital from July to August 2024. Data were collected from 86 ADHF patients who were hospitalized between January 2021 and December 2023. Information regarding the patients' clinical conditions, comorbidities, and medical procedures was extracted from their case histories. Statistical analyses included t-tests and Mann-Whitney tests. RESULTS: In this study of 86 individuals with ADHF, 58.1% were over 65 years old, 31.4% were between 45 and 64 years old, and 10.5% were between 18 and 44 years old. By classification of care, 58.1% were admitted for Class 1 care, 30.2% for Class 2, and 11.6% for Class 3. Our findings indicated that the costs of treatment for patients with moderate and severe diseases were higher as compared to those of mild severity. Patients who had a length of stay over 7 days had higher costs than the ones whose length of stay was 1 to 3 days. Furthermore, Class 2 care was associated with higher costs than Class 3 care. The analysis also revealed that an increase in the number of comorbidities and medical procedures corresponded with higher treatment costs. CONCLUSION: This study identified factors that increase the cost of treatment for patients with ADHF.
Co-Authors Abdul Rahem Abdul Rahem Abdul Rahem, Abdul Adi Suroso Aditama, I Gede Agus Sindhu Agus Aan Adriansyah Aguslina Kirtishanti Aguslina Kirtishanti Akbar, Muhammad Reza Aprililo Amalia, Ratna Ayu Amilia, Eva Amir, Adilah Fatin Amir, Gabriella Ayuni Anak Agung Pradnya Paramitha Vidiani Ananda Yudiarso Ananta Yudiarso Ananta Yudiarso Ananta Yudiarso Andayani, Tri M. Anggara Martha Pratama Anggara Martha Pratama Anindita Dyah Pratiwi Anizzalati, Fida Shafi Anugrah Putri Aprilia Aprianti , Pande Made Ayu Aprianti, Pande Made Ayu Arisandi, Jeffri asri dewayani Asti Indah Purwati AYU LESTARI Aziz Hubeis Benny Canggih Budhi Setianto Budipramana, Krisyanti Canggih, Beny Canggih, Beny Damayanti, Melly Dea Amelia Aditya Winata Devitya A. Sukarno Dhiba, Zahwa Diah Fatmala Dian Natasya Raharjo Dian Natasya Raharjo Dian Natasya Raharjo Diana Syarifah Diputra, I Nyoman Yoga Doddy de Queljoe Doddy de Queljoe Doddy de Queljoe Doddy de Queljoe, Doddy de Dwi Octamy Sari Dwi Wahyuningtyas Ema Arifatul Masruroh Emiliana Lamur Endang Wahjuningsih Endang Wahjuningsih Erdiansyah, Muhammad Erlin Oktavia Ferdias Kurnia Bahari Findry Rafsanjani Herwansyah Firanita, Lisma D. Fitrianingsih, Nurul Gebriella Ayuni Amir Gitaputri, Putu Aprilya Gora Dirga Kusuma Hantoro, Khaula A. A. Hary Bagijo Haryoko, Sugeng Hayati, Siti Nur Heru, Astri I Nyoman Yoga Diputra Ika Sari Wahyuningtyas Indraswari, Putu Ika Indah Jalmav, Marthy Meliana Jalmav, Marthy Meliana Ariyanti Juwariya, Firdayatul Kadek Yeni Dian Rismawati Karina, Bella Lony Kezia Sefania Khaula A. A. Hantoro Lalita Tirsa Leonardo Immanuel Lestiono Lestiono Liana Widharta Lidia Junita Lidia Junita Linggani Linggani Linggani Linggani Lisa Aditama, Lisa Lisiska, Natalia Lisma D. Firanita M Budi Indra Sudaryatmono Made Dwike Swari Santi Mahfidz, Ikhwan Khairul Mahmudah, Rifaatul Laila Maranatha, Daniel Mariana Wahjudi Mariana Wahjudi Mariana Wahjudi, Mariana Mariana Wahyudi Marthy Meliana Ariyanti Jalmav Masruroh, Ema Arifatul Matina Naim Muhammad Erdiansyah Natalia Lisiska Nathania, Jessica Nathania, Jessica Navaul Setiya Ningrum Nevyta Fitriandasari Ni Luh Mitha Rini Chandra Ni Wayan Deviani Susanti Ningrum, Navaul Setiya Noer Lailatul Istiqomah Novelia Gandawari Nuning Farida Nur Annisa Yuliana NURUL FITRIANINGSIH Nurul Safina Nyoman Yoga Diputra Pambagyanik, Apridita Anggun Pandu Laksono, Pandu Pratama, Anggara Martha Putu Melista Putri Raharjo, Dian Natasya Richa Ratnasari Richa Ratnasari Rifaatul L. Mahmudah Rifaatul Laila Mahmudah Rifaatul laila Mahmudah Rifaatul Laila Mahmudah Rika K. Sari Rika Yulia Rivan V. Suryadinata Rivan V. Suryadinata Rivan V. Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rivan Virlando Suryadinata Rizka I Wijaya Rizki Amalia Rizki, Rahmat Rizkia Arrahmah Salsabila, Unik Hanifah Santosa, Kristian Abram Saputra, I Nyoman Dodi Saputra, Rifaldi Saputra, Rifaldi Sari, Nina Purnama Sari, Nina Purnama Sari, Rika K. Saswita, Nuke Savitri, Kadek Yuli Dwi Selvia Agustina Selvia Agustina Septinellya, Cinthya Farah Sigar, Tiara Regina Beatriks Silitonga, Esteria Siska Fatkhul Hidayati Siska Rian Pratiwi Siti Saharah Abdullah Sri Rahayu Sugiarto Widjaja Supriadi Supriadi Suryadinata, Rivan V. Suryadinata, Rivan Virlando Suud Suud, Suud Suyanto Suyanto Suyanto Syahrani, Achmad Tangkilisan, Elisabeth Carolina Tinaka, Adela Juana Tri M. Andayani Tri Murti Andayani Tri Murti Andayani Try Suryandi Vanny Sutjipto Wahjuningsih, Endang Wardani, Mariani Ika Wati, Angela Nofvianti Cahyo Widyati . Wijaya, Rizka Indra Wijaya, Rizka Indra Wijono, Heru Yessica Christina Wijaya Tandjung Yorasaki, Yosy Athaya Zullies Ikawati