Medical researchers break down costs to care for heart failure patients at the end of life

Oct 12, 2010

As the population ages, health care epidemiologist Padma Kaul and cardiologist Paul Armstrong, researchers in the Faculty of Medicine & Dentistry at the University of Alberta, want health-care professionals to talk to their patients about their options on places to die, whether it be at home, in hospital or a palliative care facility like hospice.

The researchers found, in their recent study, that the majority of heart failure patients pass away in an acute care hospital and the cost is more than double for those who died elsewhere.

This is the first study to examine costs, including inpatient, outpatient, physician, and drug costs, at the end of life among heart failure patients in Canada. Researchers examined data on over 30,000 elderly patients with heart failure who died between 2000 and 2006 in Alberta.

"End of life is a big issue, not only in Canada but in the western world," said Kaul, an Alberta Innovates-Health Solutions Investigator. "If you ask anyone they want to die with dignity surrounded by their loved ones, I don't think anyone wants to die in the hospital with tubes coming out of their various body parts. Nobody has really looked at this issue specifically in the heart failure population."

More than 500,000 Canadians live with heart failure and another 50,000 acquire it each year. The aging Canadian population assures that heart failure rates will increase substantially in coming years and pose a major challenge to the publicly funded Canadian health-care system.

"It is critical for the Canadian health-care system and for all of us to engage in a discussion about where people spend their last days," said Armstrong, senior author on the paper which was published in the online October 11 edition of Archives of Internal Medicine. "We need to ask how they'd like to be treated and how this should be best handled in a health-care system that's straining and re-examining how to best use limited resources."

Kaul is a co-author on a similar study conducted among elderly patients in the United States, which will also appear in the same issue of the scientific journal. The study shows a dramatic increase in the use of hospice facilities among patients between 2000 and 2007.

Explore further: Sharks' skin has teeth in the fight against hospital superbugs

add to favorites email to friend print save as pdf

Related Stories

Lower-cost hospital care is not always lower in quality

Feb 22, 2010

The costs that hospitals incur in treating patients vary widely and do not appear to be strongly associated either with the quality of care patients receive or their risk of dying within 30 days, according to a report in ...

More elderly Americans are living with heart failure

Feb 25, 2008

The number of elderly individuals newly diagnosed with heart failure has declined during the past ten years, but the number of those living with the condition has increased, according to a report in the February 25 issue ...

Recommended for you

Tracing the rise of Ebola in West Africa

9 hours ago

Since the Ebola outbreak first emerged in West Africa, The Associated Press has been reporting on it. A timeline compiled from AP dispatches since March shows the dreaded disease being identified in a remote ...

Spinal manipulation helps relieve back-related leg pain

9 hours ago

(HealthDay)—Adding spinal manipulative therapy (SMT) to home exercise and advice (HEA) may improve short-term outcomes in patients with subacute and chronic back-related leg pain (BRLP), according to research ...

User comments : 0