房颤流行病与医疗费用.pptxVIP

房颤---流行病与医疗费用首都医科大学附属北京安贞医院 马长生 房颤的患病率(ATRIA 研究) JAMA 2001; 2370不同研究中房颤的患病率J Cardiovasc Nurs 2004; 94房颤患者的住院率Circulation 2003; 711美国房颤患病率的发展趋势JAMA 2001; 2370中国房颤的发病率Int J Cardiol 2005; 283中国---房颤的患病率 Crude prevalence 0.77% Age-standardized prevalence 0.65% male 0.66% ; female 0.63% J Epidemiol 2008; 209中国---房颤患者的年龄构成Int J Cardiol 2005; 283中国---房颤的病因以及相关发病因素Int J Cardiol 2005; 283%Incidence of Stroke (/year)中国---非瓣膜病房颤患者脑卒中发病率Chin J Cardiol 2002;165中国---房颤/非房颤患者脑卒中的患病率Stroke (n)Non-stroke (n)Total subjects (n)Prevalence of stroke (%)AF2919522412.95Non-AF65728173288552.28Sum68628368290792.36J Epidemiol 2008; 209房颤患者的抗栓治疗和脑卒中发生率Treatment Group PatientsPatients with strokeRate of stroke(%)Antiplatele7Anticoagulant572325.5No antithrombotic306274124.2Int J Cardiol 2005; 283(%)Ablation (10,000)Anticoagulation中国当前房颤的治疗情况房颤年度医疗花费的构成Europace 2008; 403不同因素对房颤治疗价/效关系的影响Pharmacoeconomics 2000; 317房颤导管消融与药物治疗医疗费用的比较PACE 2003; 292不同国家房颤医疗费用的构成USUK房颤医疗费用的构成Am Heart J 2004;121房颤消融前后对医疗资源占用的比较JICE 2003; 59 房颤导管消融与药物治疗费用的比较J Cardiovasc Electrophysiol 2008; Epub中国---导管消融的费用 Preablation examinations: CT、TEE、TTE、biochemical test Catheter ablation： Abl catheter、Reference pad、Lasso catheter Postablation medication Warfarin、Amiodarone Total cost: 60,000-80,000 RMB Thank you!Atrial fibrillation： The Epidemic and CostChangsheng Ma, M.D.Department of CardiologyBeijing Anzhen Hospital, Capital Medical University Beijing, P.R. China Dem 13, 2008 Prevalence of Diagnosed AF(ATRIA study) JAMA 2001; 2370Prevalence of AF in population-based studiesJ Cardiovasc Nurs 2004; 94Prevalence of hospitalizations for AFCirculation 2003; 711Projected Number of AF in U.SJAMA 2001; 2370Incidence of AF in ChinaInt J Cardiol 2005; 283Prevalence of AF in China Crude prevalence 0.77% Age-standardized prevalence 0.65% male 0.66% ; female 0.63% J Epidemiol 2008; 209Age distribution of patients with AFInt J Cardiol 2005; 283Causes and associated factors for AFInt J Cardiol 2005; 283%Incidence of