A systematic literature review of treatment costs for patients with Acute Myocardial Infarction

Abstract

Objective: To analyze the costs treatment for patientswith Acute Myocardial Infarction (AMI) over the periodfrom 2000 to 2016.Materials and methods: Systematic review of the literatureon the costs of treatment for patients with AcuteMyocardial Infarction in the period 2000-2016. We selected30 scientific articles from the database Scielo, Medline,Redalyc, Springer Medizin and Lilacs, which met theinclusion criteria: articles published in Spanish, Portugueseor English from 2000 to 2016. To restrict the search ofarticles, we use the health descriptors: costs, myocardialinfarction and cardiovascular, combining them with theBoolean operators ‘’AND’’, ‘’OR’’ and ‘’NOT’’. Of which, asample of 11 articles was selected.Results: It was evidenced that a high percentage (63.6%)came from the Scielo database. According to the countryof origin of the articles, it was identified that the highestpercentage (36.4%) came from Colombia. Concerningthe direct and indirect costs of patients with Acute MyocardialInfarction (AMI) from an international perspective,the total estimated cost for Acute Coronary Syndrome(ACS) in 2011, including direct and indirect costs, is $1.26million (US dollars are used throughout). In Colombia, theaverage cost of a case of AMI during the first five years afterdiagnosis is USD$8,786.9. Ambulatory managementcosts represent 54%.Conclusion: The costs of people with Acute MyocardialInfarction in both ambits, the international and national(Colombia) are significantly attributable by surgical interventions,treatment, hospital stay and post-diagnosticoutpatient management