房颤流行病与医疗费用课件

房颤流行病与医疗费用时间反复无常，鼓着翅膀飞逝

1美国房颤患病率的发展趋势JAMA

2001;2370中国房颤的发病率Int

J

Cardiol

2005;

283中国---房颤的患病率Crude

prevalence

0.77%Age-standardized

prevalence

0.65%male

0.66%

;

female

0.63%J

Epidemiol

2008;209中国---房颤患者的年龄构成Int

J

Cardiol

2005;

283中国---房颤的病因以及相关发病因素Int

J

Cardiol

2005;

283中国---非瓣膜病房颤患者脑卒中发病率Chin

J

Cardiol2002;165Incidence

of

Stroke

(/year)%中国---房颤/非房颤患者脑卒中的患病率Stroke(n)Non-stroke(n)Total

subjects(n)Prevalence

ofstroke

(%)AF2919522412.95Non-AF65728173288552.28Sum68628368290792.36J

Epidemiol

2008;209房颤患者的抗栓治疗和脑卒中发生率Treatment

GroupPatientsPatients

withstrokeRate

ofstroke(%)Antiplatelet49913346.7Anticoagulant572325.5No

antithrombotic306274124.2Int

J

Cardiol

2005;

283中国当前房颤的治疗情况Anticoagulation(%)Ablation

(10,000)房颤年度医疗花费的构成Europace

2008;

403不同因素对房颤治疗价/效关系的影响Pharmacoeconomics

2000;

317房颤导管消融与药物治疗医疗费用的比较PACE

2003;

292UK不同国家房颤医疗费用的构成USAm

Heart

J2004;121房颤医疗费用的构成房颤消融前后对医疗资源占用的比较JICE

2003;

59J

Cardiovasc

Electrophysiol

2008;

Epub房颤导管消融与药物治疗费用的比较中国---导管消融的费用Preablation

examinations:CT、TEE、TTE、biochemical

testCatheter

ablation：Ablcatheter、Referencepad、Lasso

catheterPostablation

medicationWarfarin、AmiodaroneTotalcost: 60,000-80,000

RMBThank

you!Atrial

fibrillation：

The

Epidemic

and

CostChangsheng

Ma,

M.D.Department

of

CardiologyBeijing

Anzhen

Hospital,

Capital

Medical

UniversityBeijing,

P.R.

ChinaDem

13,

2008Prevalence

of

Diagnosed

AF(ATRIA

study)JAMA

2001;2370Prevalenceof

AFinpopulation-based

studiesJ

Cardiovasc

Nurs

2004;94Prevalence

of

hospitalizations

for

AFCirculation

2003;

711Projected

Number

of

AF

in

U.SJAMA

2001;2370Incidence

of

AF

in

ChinaInt

J

Cardiol

2005;

283Prevalence

of AF

in

ChinaCrude

prevalence

0.77%Age-standardized

prevalence

0.65%male

0.66%

;

female

0.63%J

Epidemiol

2008;209Age

distribution

of

patients

with

AFInt

J

Cardiol

2005;

283Causes

and

associated

factors

for

AFInt

J

Cardiol

2005;

283Incidence

of

Stroke

in

patients

with

NVAFChin

J

Cardiol2002;165Incidence

of

Stroke

(/year)%Prevalence

of

stroke

inAF/non-AFcohortsStroke(n)Non-stroke(n)Total

subjects(n)Prevalence

ofstroke

(%)AF2919522412.95Non-AF65728173288552.28Sum68628368290792.36J

Epidemiol

2008;209Antithrombotic

treatment

andstroke

rate

in

AFTreatment

GroupPatientsPatients

withstrokeRate

ofstroke(%)Antiplatelet49913346.7Anticoagulant572325.5No

antithrombotic306274124.2Int

J

Cardiol

2005;

283Current

treatment

of

AF

in

ChinaAnticoagulation(%)Ablation

(10,000)Distribution

of

annual

costs

of

AFEuropace

2008;

403Influence

of

variables

on

cost/effectivenessof

AF

therapyPharmacoeconomics

2000;

317Costs

of

Ablation

vs

Medication

of

AFPACE

2003;

292USUKDistribution

of

costs

of

care

in

AFDistribution

of

costs

of

care

in

AF

in

thesocietal

perspectiveAm

Heart

J2004;121Comparison

of

healthcare

resource

utilizationbefore

and

afterablationJICE

2003;

59J

Cardiovasc

Electrophysiol

2008;

EpubCosts

of

Ablation

vs

Medication

of

AFCosts

of

AF

Catheter

ablation

in

ChinaPreablation

examinations:CT、TEE、TTE、biochemical

testCatheter

ablation：Ablcatheter、Referencepad、Lasso

catheterPostablation

medicationWarfarin、AmiodaroneTotalcost: 60,000-80,000

RMBTha