[Costs of healthcare resource consumption after a myocardial infarction in France: An estimate from a medicoadministrative database (GSB)]

Ann Cardiol Angeiol (Paris). 2017 Apr;66(2):74-80. doi: 10.1016/j.ancard.2016.12.004. Epub 2017 Jan 27.
[Article in French]


Objective: To estimate the costs of healthcare resource consumption in the year preceding and the year following a myocardial infarction (MI).

Patients and methods: A historical cohort of patients experiencing an MI in France between 2007 and 2011 was extracted from the échantillon généraliste de bénéficiaires, a 1/97th sample of all beneficiaries of public health insurance in France.

Results: A total of 1920 patients experiencing an MI were identified. Two-thirds were men and the mean age was 67 years; 20.6% had diabetes, 37.6% hypercholesterolaemia and 82.4% hypertension. From a societal perspective, the annual costs of medical consumption related to hospitalisations increased from € 4548 before the MI to € 6470 in the following year. Costs of community care rose from € 2932 to € 6208. This increase concerned all components of community healthcare: costs associated with medical transportation increased fourfold, those associated with consultations and laboratory tests tripled, medication costs doubled and costs of paramedical services also increased, but to a lesser extent. It should be noted that the cost of hospitalisation for the index MI (€ 5876) is not included in the above costs.

Conclusion: From a society perspective, the cost of healthcare resource consumption increased threefold in the year following an MI.

Keywords: Cost; Coût; France; Infarctus du myocarde; Myocardial infarction.

MeSH terms

  • Aged
  • Cost of Illness*
  • Female
  • France
  • Health Care Costs*
  • Hospitalization / economics*
  • Humans
  • Male
  • Myocardial Infarction / economics*
  • Quality of Life*
  • Referral and Consultation / economics*
  • Retrospective Studies
  • Risk Factors
  • Severity of Illness Index