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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 Jabbar, Davano Al Raffi Adhitama, Lisa Ainul Yaqin Amelia Lorensia Ana Yuda Arie Sulistyarini Arisandi, Jeffri Ayu Purbiastuti, Putri Bayu Prasaja, Bayu Bharti Rosyadi, Devia Bobby Presley, Bobby Brata, Cecilia Budiatin, Aniek Setiya Chrismawan Ardianto Cokro, Fonny Davindra Widiantoro, Arya Dian Maria Pia, Dian Maria Dwi Agung Nugroho Eko Setiawan Fahmi U, Mohammad Farida Ifadotunnikmah Faris Alfaruqi, Salman Fayza Zahra, Nabilla Gesnita Nugraheni Gusti Noorrizka Veronika Ahmad Halim, Steven Victoria Hermansyah, Andi I NYOMAN WIJAYA Iim Suhaemi, Iim Juni Ekowati Khandy, Evanda Ratna Thalia khusnul khotimah Kristianto, Franciscus C. Kumalasari, Nunik Dewi Kunnu, Hasbi Lestiono Lestiono, Lestiono Lisa Aditama, Lisa Liza Pristianty Mahanggi, Oktarina Maharani, Arina Mahardian Rahmadi Manurung, Deny Mayla Kristia, Erfika Metasartika, Valentina Metasartika, Valentina Muhammad Reza Pahlevi Naufal, Adam Mochammad Ningsih, Linda Fidya Noorrizka V, Gusti Nurul Qiyaam, Nurul Pambagyanik, Apridita Anggun Prayoga, Adistiar Priyandani, Yuni Putri, Virginia Johanes Rahayu, Titik Puji Rhima Diastya Amalia Riza Alfian Salma Falihah, Anisah Setiadi, Adji Prayitno Shakira Putri Sanjaya, Naila Soleh, Mochammad Solly Aryza Suhaemi, Iim Sukorini, Anila Impian Sumarno . Suradnyana, I Gede M. Tazkiyya Adillia, Firma Thalia Khandy, Evanda Ratna Toetik Aryani Umi Athiyah, Umi Wahyu Utami, Wahyu Wardhani, Dewanti Wibowo, Yosi Irawati Yunita Nita Zulkamain, Bambang Subakti Zulkarnain, Bambang Subakti