Please use this identifier to cite or link to this item: 10.3390/ijerph20095743
Title: Association between Non-Dietary Cardiovascular Health and Expenditures Related to Acute Coronary Syndrome in the US between 2008–2018
Authors: Enyeji, Abraham M.
Barengo, Noël C.
Ibrahimou, Boubakari
Ramirez, Gilbert
Arrieta, Alejandro
Keywords: ACS (acute coronary syndrome);BMI (body mass index);CVD (cardiovascular disease);CVH (cardiovascular health);LS7 (Life’s Simple 7);MEPS (medical expenditure panel survey);3.2 Clinical medicine;3.3 Health sciences;1.1. Scientific article indexed in Web of Science and/or Scopus database;Pollution;Public Health, Environmental and Occupational Health;Health, Toxicology and Mutagenesis;SDG 3 - Good Health and Well-being
Issue Date: May-2023
Citation: Enyeji , A M , Barengo , N C , Ibrahimou , B , Ramirez , G & Arrieta , A 2023 , ' Association between Non-Dietary Cardiovascular Health and Expenditures Related to Acute Coronary Syndrome in the US between 2008–2018 ' , International journal of environmental research and public health , vol. 20 , no. 9 , 5743 . https://doi.org/10.3390/ijerph20095743
Abstract: Background: Acute Coronary Syndrome (ACS) causes the most deaths in the United States and accounts for the highest amount of healthcare spending. Cardiovascular Health (CVH) metrics have been widely used in primary prevention, but their benefits in secondary prevention on total healthcare expenditures related to ACS are largely unknown. This study aims to quantify the potential significance of ideal CVH scores as a tool in secondary cardiovascular disease prevention. Methods: In a cross-sectional analytical study, ten years of Medical Expenditure Panel Survey (MEPS) data from 2008 to 2018 were pooled, comparing ACS to non-ACS subgroups, utilizing a Two-part model with log link and gamma distribution, since our sample had both positive and zero costs. Conditional on positive expenditure, healthcare expenditure amounts were measured as a function of ACS status, socio-demographics, and CVH while controlling for relevant covariates. Finally, interactions of ACS with CVH metrics and other key variables were included to allow for variations in the effect of these variables on the two subgroups. Results: Improvements in CVH scores tended to reduce annual expenditures to a greater degree percentage-wise among ACS subjects compared to non-ACS groups, even though subjects with an ACS diagnosis tended to have approximately twice as big expenditures as similar subjects without an ACS diagnosis. Meanwhile, the financial impact of an ACS event on total expenditure would be approximately $88,500 ([95% CI, $70,200–106,900; p < 0.001]), and a unit improvement in CVH management score would generate savings of approximately $4160 ([95% CI, $5390–2950; p < 0.001]) in total health expenditures. Conclusions: Effective secondary preventive measures through targeted behavioral endeavors and improved health factors, especially the normalization of hypertension, diabetes mellitus, body mass index, and smoking cessation, have the potential to reduce medical spending for ACS subgroups.
Description: Publisher Copyright: © 2023 by the authors.
DOI: 10.3390/ijerph20095743
ISSN: 1661-7827
Appears in Collections:Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure

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