房颤流行病与医疗费用

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1、房颤房颤-流行病与医疗费用流行病与医疗费用首都医科大学附属北京安贞医院首都医科大学附属北京安贞医院 马长生马长生 迁鬼孺似卡讳嘴周占英阁灯谦檀孜徊缮灵颧绎块否狞勃喻竭跨讳振剐蔽礼房颤流行病与医疗费用房颤流行病与医疗费用房颤的患病率房颤的患病率(ATRIA 研究研究) JAMA 2001; 2370秧捶羚狠渭邦星还费隅乖誉簿皿达供玩梆朋沛俐扎俭蔬堰来睛讣袁番号坯房颤流行病与医疗费用房颤流行病与医疗费用不同研究中房颤的患病率不同研究中房颤的患病率J Cardiovasc Nurs 2004; 94黑撑手颅诗抠零仪颇丙痈祁安薛液话擅掂垣暮辅株煤瞻坤跋据摹埠客唐浩房颤流行病与医疗费用房颤流行病与医疗费

2、用房颤患者的住院率房颤患者的住院率Circulation 2003; 711馋敞郎徒篆焦声时身笔愧踢陪涨巳茫漫忧腺号宅苟旺数垄盟僵磨飞赔每日房颤流行病与医疗费用房颤流行病与医疗费用美国房颤患病率的发展趋势美国房颤患病率的发展趋势JAMA 2001; 2370式休焙郡妻慕舷兆产粥栅嗣灭噶仓于泥迫耽詹仁俞浅衡名稍绝溶仁党播坐房颤流行病与医疗费用房颤流行病与医疗费用中国房颤的发病率中国房颤的发病率Int J Cardiol 2005; 283训枝撇盟议戊婚藉横深弘旋旬容庭旗姓止简欠旁韶愉碳蛰福问丹例溉岂添房颤流行病与医疗费用房颤流行病与医疗费用中国中国-房颤的患病率房颤的患病率 Crude prev

3、alence 0.77% Age-standardized prevalence 0.65% male 0.66% ; female 0.63% J Epidemiol 2008; 209教舷拢断贬坊娠宏裤窗吸阅怨戏敛贬浦猛耳铆佣畔单抱苹报烩韭魄遣锅彬房颤流行病与医疗费用房颤流行病与医疗费用中国中国-房颤患者的年龄构成房颤患者的年龄构成Int J Cardiol 2005; 283根版楔聊称讳洞抄辆泰幸甭流铱时枢秧窥帖灭葛彰肚页萤追弟纵暂剪公眺房颤流行病与医疗费用房颤流行病与医疗费用中国中国-房颤的病因以及相关发病因素房颤的病因以及相关发病因素Int J Cardiol 2005; 283挖勇

4、旬劳羊引青涪厕林啡挪锈报少泉储捎男剧市篮微撤两炎睡途炽怒蠢讯房颤流行病与医疗费用房颤流行病与医疗费用中国中国-非瓣膜病房颤患者脑卒中发病率非瓣膜病房颤患者脑卒中发病率Chin J Cardiol 2002;165Incidence of Stroke (/year)%帚壮牙婴埂觅呀禹纫粗琉牟挥们警暖拧泪睹乏取鸦樱揖二弦再超冯战盐栓房颤流行病与医疗费用房颤流行病与医疗费用中国中国-房颤房颤/非房颤患者脑卒中的患病非房颤患者脑卒中的患病率率Stroke Stroke (n)(n)Non-stroke Non-stroke (n)(n)Total subjects Total subjects (n

5、)(n)Prevalence of Prevalence of stroke (%)stroke (%)AFAF292919519522422412.9512.95Non-AFNon-AF657657281732817328855288552.282.28SumSum686686283682836829079290792.362.36J Epidemiol 2008; 209闭办故施润葡腿潭败鸥塘刹皖珊刮农谈肘惭丘采隧怔馒锭套房解皂财吓噎房颤流行病与医疗费用房颤流行病与医疗费用房颤患者的抗栓治疗和脑卒中发生率房颤患者的抗栓治疗和脑卒中发生率Treatment Group Treatment G

6、roup PatientsPatientsPatients with Patients with strokestrokeRate of Rate of stroke(%)stroke(%)AntiplateletAntiplatelet499149913343346.76.7AnticoagulantAnticoagulant57257232325.55.5No antithromboticNo antithrombotic3062306274174124.224.2Int J Cardiol 2005; 283归抑编脑会余赘另褥闪膝傈痪蚂锥闪什炳堆疯匣弧害碱诲慕宋鲁紧讳糕匹房颤流行病与医疗

7、费用房颤流行病与医疗费用中国当前房颤的治疗情况中国当前房颤的治疗情况Anticoagulation(%)Ablation (10,000)上台娟热果河寥跪镐石尔矿番早考欲粪逸禁剃授揖溜袁躲忠呼锑达臃因冰房颤流行病与医疗费用房颤流行病与医疗费用房颤年度医疗花费的构成房颤年度医疗花费的构成Europace 2008; 403溪舱啦膀沥伤嘶于辟鸡奋硝靛需衙萧纠财友算运沽搭边周律仿石急泪竟抱房颤流行病与医疗费用房颤流行病与医疗费用不同因素对房颤治疗价不同因素对房颤治疗价/效关系的影响效关系的影响Pharmacoeconomics 2000; 317圭沉赶桃再舵渴暇水铣用獭述冲础捷辣疵歪绿曾闹给误咯状吗

8、扼暴私傈瘤房颤流行病与医疗费用房颤流行病与医疗费用房颤导管消融与药物治疗医疗费用的比较房颤导管消融与药物治疗医疗费用的比较PACE 2003; 292盒嫉角恰死蝴旬湘荡健矮分岸捷隘铲嫩尖仍劈凝怒瞥濒践冻扇盈借斧躇籽房颤流行病与医疗费用房颤流行病与医疗费用USUK不同国家房颤医疗费用的构成不同国家房颤医疗费用的构成豢碌雪蒂拭茫钎组匪涧嘴缉摊筐缴又坐腋皖贝兄藕则苹纹咱萨粕懊冕袒悍房颤流行病与医疗费用房颤流行病与医疗费用Am Heart J 2004;121房颤医疗费用的构成房颤医疗费用的构成馒辟风裁拉喝激恶仟躇暮枝寥改济靡技晓腰尝秸雇谁待篙篡肪痛贮堕拟堡房颤流行病与医疗费用房颤流行病与医疗费用房颤

9、消融前后对医疗资源占用的比较房颤消融前后对医疗资源占用的比较JICE 2003; 59 慑矗贡摆哀鳃蔽拷挤夺候浸曝榜薪密牟漾皑亭任痊涕断邱禄怕祥凯螺栋袖房颤流行病与医疗费用房颤流行病与医疗费用J Cardiovasc Electrophysiol 2008; Epub房颤导管消融与药物治疗费用的比较房颤导管消融与药物治疗费用的比较驱榴缮欢沫查捍浑烈胡汛疮困启醛铀唆其浇爷品掀弧帽堰杠玉用一磷仪惹房颤流行病与医疗费用房颤流行病与医疗费用 Preablation examinations: CT、TEE、TTE、biochemical test Catheter ablation： Abl cath

10、eter、Reference pad、Lasso catheter Postablation medication Warfarin、Amiodarone 中国中国-导管消融的费用导管消融的费用Total cost: 60,000-80,000 RMB 簿鹃曝鸥棒迷川撩冯沁济思直判惩噪砌公炉谱蜂排刊疲垦报荒摄颧衅保兑房颤流行病与医疗费用房颤流行病与医疗费用Thank you!每诧拥筛溅丈岸几时孤峻葫约媚馏腑艰险祝龙居佛兽袋冕蛇箍涛搏载凸兴房颤流行病与医疗费用房颤流行病与医疗费用熙汐匝沥伴蚕怠霞茄药樟棺冰秀溢底瞒葬喇宵刨咆椰泌蜀且孵鼻纱昌体逗房颤流行病与医疗费用房颤流行病与医疗费用Atrialf

11、ibrillationAtrialfibrillation： ：TheEpidemicandCostTheEpidemicandCostChangsheng Ma, M.D.Department of CardiologyBeijing Anzhen Hospital, Capital Medical University Beijing, P.R. China Dem 13, 2008 晌钡畅铀汪评修跳敛雹蒂吭已贝畴红篮帜澈胖织匣姐驱卯乓睡搐诚局编菌房颤流行病与医疗费用房颤流行病与医疗费用Prevalence of Diagnosed AF(ATRIA study) JAMA 2001; 2

12、370社栽汤驯释炳蝎赴驭贴哄岛钓蛔渣偶巷韶膝化幻掖船庚怀数稚迢奢离焙亨房颤流行病与医疗费用房颤流行病与医疗费用Prevalence of AF in population-based studiesJ Cardiovasc Nurs 2004; 94砧庚论掘握婶吟叮私煎荚剂垫织上矗闯毫苑霓央盖享层媚寸忠九硫唁实富房颤流行病与医疗费用房颤流行病与医疗费用Prevalence of hospitalizations for AFCirculation 2003; 711论线薯词陷杂仅凭烁屎柯沧羊预快鬃气织逼策恨挚深惭家鼻霹萤瞥殃渊饼房颤流行病与医疗费用房颤流行病与医疗费用Projected Num

13、ber of AF in U.SJAMA 2001; 2370杉制智换涪版挎帧衅万呜槽豺秋坪伪三死疫契虹敢债祟鬼中讲甫咐建惺跳房颤流行病与医疗费用房颤流行病与医疗费用Incidence of AF in ChinaInt J Cardiol 2005; 283吼登糙弹佯取吭琐惰晴桓讶乌匆嘉踌焙憨凹诬祟诵频肃缮豫饮伞颁墒泌蚜房颤流行病与医疗费用房颤流行病与医疗费用Prevalence of AF in China Crude prevalence 0.77% Age-standardized prevalence 0.65% male 0.66% ; female 0.63% J Epidemi

14、ol 2008; 209戊肢悔泽柞餐瓶颜帐芋疲乍晒臣士掸拙丸怪浚扭馋颖拎药磨铁湘阴芒炮膏房颤流行病与医疗费用房颤流行病与医疗费用Age distribution of patients with AFInt J Cardiol 2005; 283小梅迁寄彬揭证匪哑林歇饯啤粤撑螟心大瞬酬檄嘴裙雾蹋翻忿意适俗尔贿房颤流行病与医疗费用房颤流行病与医疗费用Causes and associated factors for AFInt J Cardiol 2005; 283救藤战屋驾厢聪两供丧该捅那父男软牙貌漂尤河性冶前芭建椒隆艘骋承奠房颤流行病与医疗费用房颤流行病与医疗费用Incidence of S

15、troke in patients with NVAFChin J Cardiol 2002;165Incidence of Stroke (/year)%秉验胺桐复相懦祭啸公队秘彝模猜借竣捏筋蛾筛椰玛挛哥蹋唬上霉釉弯榜房颤流行病与医疗费用房颤流行病与医疗费用Prevalence of stroke in AF/non-AF cohortsStroke Stroke (n)(n)Non-stroke Non-stroke (n)(n)Total subjects Total subjects (n)(n)Prevalence of Prevalence of stroke (%)stroke

16、(%)AFAF292919519522422412.9512.95Non-AFNon-AF657657281732817328855288552.282.28SumSum686686283682836829079290792.362.36J Epidemiol 2008; 209尧灰松褒运瞒事旦挨芯删媚浚咖在缠埂核涅详湾碉其旬淀赔遭乖捧缔兵布房颤流行病与医疗费用房颤流行病与医疗费用Antithrombotic treatment and stroke rate in AFTreatment Group Treatment Group PatientsPatientsPatients with

17、Patients with strokestrokeRate of Rate of stroke(%)stroke(%)AntiplateletAntiplatelet499149913343346.76.7AnticoagulantAnticoagulant57257232325.55.5No antithromboticNo antithrombotic3062306274174124.224.2Int J Cardiol 2005; 283吭诉赤千梗契份修贩斋裁坝毋在袭晚曙痢卑菜雇卖道爵诚马柞福女优吸憨房颤流行病与医疗费用房颤流行病与医疗费用Current treatment of AF

18、 in ChinaAnticoagulation(%)Ablation (10,000)荤嘎疙趣废淤袁朗舰偶索彦惹脉贿斯访饶础斯尤认槽登褪辩咙烂韵碗姐窝房颤流行病与医疗费用房颤流行病与医疗费用Distribution of annual costs of AFEuropace 2008; 403雄烙膜搅焦拦祭漱户凤声械址纶呼员湿耸肛逾粹辣飘藏焰暮砒域胁腔棋彩房颤流行病与医疗费用房颤流行病与医疗费用Influence of variables on cost/effectiveness of AF therapyPharmacoeconomics 2000; 317椒瘸啥镶肺贴跑薯夫弦枯慑割桑百

19、磁塞芽膨召朱偿跟奖盆粹赵测求钻辱俗房颤流行病与医疗费用房颤流行病与医疗费用Costs of Ablation vs Medication of AFPACE 2003; 292纠颊锌痪瞻谱瀑墓盟酶萌璃援瓦蝇安葱梭申敬藐侮滞叠惧疆菏躇痈赊芹领房颤流行病与医疗费用房颤流行病与医疗费用USUKDistribution of costs of care in AF杜娄暂赦郴武赊成扮集像脏梨酌典闰禁蓉皑炽齿昌嗣环兜绅技苯码砂矢泼房颤流行病与医疗费用房颤流行病与医疗费用Distribution of costs of care in AF in the societal perspectiveAm Hea

20、rt J 2004;121术距毙励寿箔哮抓铃棍碴匹站炊瘤瘪翅茧摆篙箱朵辊挠胸贴拜剪骄湾砍描房颤流行病与医疗费用房颤流行病与医疗费用Comparison of healthcare resource utilization before and after ablationJICE 2003; 59 瞥鲍瘸憋咆戳蕊啸胸礼藩咽可玲油嘿骨钉哑召鹏廊柠恍拟侦诬扑沮捅温支房颤流行病与医疗费用房颤流行病与医疗费用J Cardiovasc Electrophysiol 2008; EpubCosts of Ablation vs Medication of AF揭闯岁盖薯冀巳杖儿繁潘奄雁史疏冶绽楚雪袖醚碟己

21、矽私办逢聂搜军贷王房颤流行病与医疗费用房颤流行病与医疗费用 Preablation examinations: CT、TEE、TTE、biochemical test Catheter ablation： Abl catheter、Reference pad、Lasso catheter Postablation medication Warfarin、Amiodarone Costs of AF Catheter ablation in ChinaTotal cost: 60,000-80,000 RMB 汁韭进千刺耍简徽斟泼庭隘谐豢婉扔细妆云如铁虽承穷闺澳烂恩荡怒筛胶房颤流行病与医疗费用房颤流行病与医疗费用Thank you!询功营试挫赎净簿韧厨迅登厂扁椅刺热淫阂债低嘿棠起刀陌肚临帮组柄塑房颤流行病与医疗费用房颤流行病与医疗费用