Abstract
Background: Cardiovascular disease (CVD) has become a leading cause of death and disability in Thailand due to the unhealthy lifestyle of the populace; triggering high risk of exposure to CVD, and increased the number of hospital admissions year on year. Objectives: The concerns generated by the inflation in the health care expenditure among service providers motivated this study to examine the costs of hospitalisation of inpatients with (CVD) conditions in Thailand, 2009. Methods: Anonymised secondary data of 327,435 CVD inpatients under “Universal Coverage” (UC) health care scheme were obtained from the National Health Security Office (NHSO), Thailand. The data (51.69% women and 48.31% men) were classified using International Classification of Diseases, Tenth Revision (ICD-10) code, of which I20 - I25 are Ischemic heart disease (IHD), I60 - I69 are stroke and I00 - I99 are all CVD conditions. Results: Average costs of treatments for all CVD conditions, IHD and stroke were ？21,921 (￡1 = ？50), ？32,884 (highest) and ？25617.67 per patient respectively. Absolute total cost increased with age and the cost of admission of male patients is higher than female. The average (three months) length of stay for stroke patients was found to be the highest. Conclusion: Providers generally spent a total of ？7177 million on the treatment of CVD with IHD and stroke taking ？2544 million and ？1920 million respectively.
Highlights
Over the past decade, Cardiovascular disease (CVD) has been one of the leading causes of premature death and disability and has become a burden in Thailand [1]
The CVD conditions have been classified and analysed by the international classification of diseases 10th version (ICD-10) codes of which I20 to I25 refers to ischemic heart diseases, I60 to I69 refer to stroke and I00 to I99 relate to all CVD conditions
The number of Ischemic heart disease (IHD) and stroke patients was high in the middle and elderly age groups, with the number of patients increasing at age 45 - 54 years and reach the highest at age 65 - 74 years
Summary
CVD has been one of the leading causes of premature death and disability and has become a burden in Thailand [1]. The National Health Security Office, Thailand reported that the number of hospital admissions which are caused by CVD conditions has continuously increased and has tripled since 1992 [7]. The total economic cost attributable to obesity has been estimated at ฿2168.4 million spending on IHD and ฿2017.6 million spending on stroke, which includes health care costs, cost of premature death and the cost of productivity loss due to hospital-related absenteeism [12]. Cardiovascular disease (CVD) has become a leading cause of death and disability in Thailand due to the unhealthy lifestyle of the populace; triggering high risk of exposure to CVD, and increased the number of hospital admissions year on year. Results: Average costs of treatments for all CVD conditions, IHD and stroke were ฿21,921 (£1 = ฿50), ฿32,884 (highest) and ฿25617.67 per patient respectively. Conclusion: Providers generally spent a total of ฿7177 million on the treatment of CVD with IHD and stroke taking ฿2544 million and ฿1920 million respectively
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