房颤流行病与医疗费课件

房颤房颤-流行病与医疗费用流行病与医疗费用首都医科大学附属北京安贞医院首都医科大学附属北京安贞医院 马长生马长生 2021/3/7房颤-流行病与医疗费用首都医科大学附属北京安贞医院 房房颤的患病率的患病率(ATRIA 研究研究)JAMA 2001;23702021/3/7房颤的患病率(ATRIA 研究)JAMA 2001;2不同研究中房不同研究中房颤的患病率的患病率J Cardiovasc Nurs 2004;942021/3/7不同研究中房颤的患病率J Cardiovasc Nurs 2房房颤患者的住院率患者的住院率Circulation 2003;7112021/3/7房颤患者的住院率Circulation 2003;7112美国房美国房颤患病率的患病率的发展展趋势JAMA 2001;23702021/3/7美国房颤患病率的发展趋势JAMA 2001;2370202中国房中国房颤的的发病率病率Int J Cardiol 2005;2832021/3/7中国房颤的发病率Int J Cardiol 2005;28中国中国-房房颤的患病率的患病率 Crude prevalence 0.77%Age-standardized prevalence 0.65%male 0.66%;female 0.63%J Epidemiol 2008;2092021/3/7中国-房颤的患病率 Crude prevalence 中国中国-房房颤患者的年患者的年龄构成构成Int J Cardiol 2005;2832021/3/7中国-房颤患者的年龄构成Int J Cardiol 20中国中国-房房颤的病因以及相关的病因以及相关发病因素病因素Int J Cardiol 2005;2832021/3/7中国-房颤的病因以及相关发病因素Int J Cardio中国中国-非瓣膜病房颤患者脑卒中发病率非瓣膜病房颤患者脑卒中发病率Chin J Cardiol 2002;165Incidence of Stroke(/year)%2021/3/7中国-非瓣膜病房颤患者脑卒中发病率Chin J Card中国中国-房房颤/非房非房颤患者患者脑卒中的患病率卒中的患病率Stroke Stroke(n)(n)Non-stroke Non-stroke (n)(n)Total subjects Total subjects(n)(n)Prevalence of Prevalence of stroke(%)stroke(%)AFAF292919519522422412.9512.95Non-AFNon-AF657657281732817328855288552.282.28SumSum686686283682836829079290792.362.36J Epidemiol 2008;2092021/3/7中国-房颤/非房颤患者脑卒中的患病率Stroke(n)房颤患者的抗栓治疗和脑卒中发生率房颤患者的抗栓治疗和脑卒中发生率Treatment Group Treatment Group PatientsPatientsPatients with Patients with strokestrokeRate of Rate of stroke(%)stroke(%)AntiplateletAntiplatelet499149913343346.76.7AnticoagulantAnticoagulant57257232325.55.5No antithromboticNo antithrombotic3062306274174124.224.2Int J Cardiol 2005;2832021/3/7房颤患者的抗栓治疗和脑卒中发生率Treatment Grou中国当前房颤的治疗情况中国当前房颤的治疗情况Anticoagulation(%)Ablation(10,000)2021/3/7中国当前房颤的治疗情况Anticoagulation(%)A房房颤年度医年度医疗花花费的构成的构成Europace 2008;4032021/3/7房颤年度医疗花费的构成Europace 2008;4032不同因素不同因素对房房颤治治疗价价/效关系的影响效关系的影响Pharmacoeconomics 2000;3172021/3/7不同因素对房颤治疗价/效关系的影响Pharmacoecono房房颤导管消融与管消融与药物治物治疗医医疗费用的比用的比较PACE 2003;2922021/3/7房颤导管消融与药物治疗医疗费用的比较PACE 2003;2USUK不同国家房颤医疗费用的构成不同国家房颤医疗费用的构成2021/3/7USUK不同国家房颤医疗费用的构成2021/3/7Am Heart J 2004;121房房颤医医疗费用的构成用的构成2021/3/7Am Heart J 2004;121房颤医疗费用的构成20房房颤消融前后消融前后对医医疗资源占用的比源占用的比较JICE 2003;59 2021/3/7房颤消融前后对医疗资源占用的比较JICE 2003;59 J Cardiovasc Electrophysiol 2008;Epub房房颤导管消融与管消融与药物治物治疗费用的比用的比较2021/3/7J Cardiovasc Electrophysiol 20 Preablation examinations:CT、TEE、TTE、biochemical test Catheter ablation：Abl catheter、Reference pad、Lasso catheter Postablation medication Warfarin、Amiodarone 中国中国-导管消融的管消融的费用用Total cost:60,000-80,000 RMB 2021/3/7 Preablation examinations:中国-Thank you!2021/3/7Thank you!2021/3/72021/3/72021/3/7AtrialfibrillationAtrialfibrillation：TheEpidemicandCostTheEpidemicandCostChangsheng Ma,M.D.Department of CardiologyBeijing Anzhen Hospital,Capital Medical University Beijing,P.R.China Dem 13,2008 2021/3/7Atrial fibrillation：The EpidePrevalence of Diagnosed AF(ATRIA study)JAMA 2001;23702021/3/7Prevalence of Diagnosed AF(ATPrevalence of AF in population-based studiesJ Cardiovasc Nurs 2004;942021/3/7Prevalence of AF in populationPrevalence of hospitalizations for AFCirculation 2003;7112021/3/7Prevalence of hospitalizationsProjected Number of AF in U.SJAMA 2001;23702021/3/7Projected Number of AF in U.SJIncidence of AF in ChinaInt J Cardiol 2005;2832021/3/7Incidence of AF in ChinaInt J Prevalence of AF in China Crude prevalence 0.77%Age-standardized prevalence 0.65%male 0.66%;female 0.63%J Epidemiol 2008;2092021/3/7Prevalence of AF in China CrudAge distribution of patients with AFInt J Cardiol 2005;2832021/3/7Age distribution of patients wCauses and associated factors for AFInt J Cardiol 2005;2832021/3/7Causes and associated factors Incidence of Stroke in patients with NVAFChin J Cardiol 2002;165Incidence of Stroke(/year)%2021/3/7Incidence of Stroke in patientPrevalence of stroke in AF/non-AF cohortsStroke Stroke(n)(n)Non-stroke Non-stroke (n)(n)Total subjects Total subjects(n)(n)Prevalence of Prevalence of stroke(%)stroke(%)AFAF292919519522422412.9512.95Non-AFNon-AF657657281732817328855288552.282.28SumSum686686283682836829079290792.362.36J Epidemiol 2008;2092021/3/7Prevalence of stroke in AF/nonAntithrombotic treatment and stroke rate in AFTreatment Group Treatment Group PatientsPatientsPatients with Patients with strokestrokeRate of Rate of stroke(%)stroke(%)AntiplateletAntiplatelet499149913343346.76.7AnticoagulantAnticoagulant57257232325.55.5No antithromboticNo antithrombotic3062306274174124.224.2Int J Cardiol 2005;2832021/3/7Antithrombotic treatment and sCurrent treatment of AF in ChinaAnticoagulation(%)Ablation(10,000)2021/3/7Current treatment of AF in ChiDistribution of annual costs of AFEuropace 2008;4032021/3/7Distribution of annual costs oInfluence of variables on cost/effectiveness of AF therapyPharmacoeconomics 2000;3172021/3/7Influence of variables on costCosts of Ablation vs Medication of AFPACE 2003;2922021/3/7Costs of Ablation vs MedicatioUSUKDistribution of costs of care in AF2021/3/7USUKDistribution of costs of cDistribution of costs of care in AF in the societal perspectiveAm Heart J 2004;1212021/3/7Distribution of costs of care Comparison of healthcare resource utilization before and after ablationJICE 2003;59 2021/3/7Comparison of healthcare resouJ Cardiovasc Electrophysiol 2008;EpubCosts of Ablation vs Medication of AF2021/3/7J Cardiovasc Electrophysiol 20 Preablation examinations:CT、TEE、TTE、biochemical test Catheter ablation：Abl catheter、Reference pad、Lasso catheter Postablation medication Warfarin、Amiodarone Costs of AF Catheter ablation in ChinaTotal cost:60,000-80,000 RMB 2021/3/7 Preablation examinations:CosThank you!2021/3/7Thank you!2021/3/7 素材和资料部分来自素材和资料部分来自网络，如有帮助请下载网络，如有帮助请下载!2021/3/746 素材和资料部分来自网络，如有帮助请下载!202