PCV20 - Assessing The Burden Of Chronic Heart Failure (Chf) On Patients In Mexico

Abstract

To understand the burden of Chronic Heart Failure (CHF) on patients in Mexico. A Disease Specific Program was conducted to assess the impact of CHF in Mexico. Patient record forms (PRF) were completed by 50 cardiologists for 8 consecutive patients with CHF. The same patients were invited to complete a patient self-completion questionnaire (PSC). Data on the PSC cohort (n=195) revealed that a typical CHF patient was male (63%) with a mean age of 64.7 years. It was also reported that 71% of patients had a BMI≥25 kg/cm2. Nearly 30% of patients were retired (4% due to CHF) and 9% were unemployed (56% due to CHF). The overall EQ5D utility score (n=193) amongst CHF patients was 0.76. EQ5D domain results indicated that 39% of patients had some difficulty walking about, and 29% had some problems performing usual activities. Additionally, 46% had moderate to extreme anxiety or depression, and 41% had moderate to extreme pain or discomfort. Household income: 60% of respondents (n=90) had a household income less than $566 per month. Insurance Plan: All patients reported having an insurance plan; the full cost of CHF drugs were covered for 89%, while 9% paid a fixed amount and 2% paid a fixed percentage. Travel/Accommodation: Patients on average spent 1.23 hours travelling to and from the hospital. For patients who reported travel costs (n=132), a mean cost of $6 per trip was incurred. Professional Caregiver: 13% of patients received assistance from a professional caregiver. Patients paid a mean of $184 per month, and required assistance a mean of 40.6 hours per week. These data are significant for understanding the burden of CHF on patients, and extrapolating its impact to the greater Mexican population.