Association between Non-Dietary Cardiovascular Health and Expenditures Related to Acute Coronary Syndrome in the US between 2008–2018
Bibliographic Data
| ID | 15501285 |
|---|---|
| Authors | Abraham M Enyeji (0000-0002-2653-8605, Florida International University, corresponding author), Noël C Barengo (0000-0003-0660-3091, Florida International University), Boubakari Ibrahimou (0000-0003-3173-4317, Florida International University), Gilbert Ramı́rez (0000-0001-7559-3646, Florida International University), Gilbert Ramirez (Florida International University), Alejandro Arrieta (0000-0002-7628-8894, Florida International University, corresponding author) |
| Year | 2023 |
| Volume | 20 |
| Issue | 9 |
| Pages | 5743-5743 |
| Publication date | 2023-05-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20095743 |
| PMID | 37174260 |
| OpenAlex | W4375863313 |
| Language | EN |
| References cited | 23 |
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 p 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
Acute coronary syndrome · Cardiovascular health · Cross-sectional study · Demographics · Disease · Environmental health · Health care · Medical Expenditure Panel Survey · Myocardial infarction · Sample size determination · Statistics · Cardiac Health and Mental Health · Cardiovascular Health and Risk Factors · Demography · Health disparities and outcomes · Medicine · Emergency Medicine · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |