title: [The cost of acute myocardial infarction management: the Tunisian experience].
abstract: OBJECTIVE
  To assess the medical direct cost of acute myocardial infarction.
  
  
  METHODS
  Data are recorded through a prospective study in 7 wards of cardiology of the District of Tunis during one year: from November 2001 to October 2002. Cost of hospital stay, biologic analyses, drugs, functional investigations and possible non surgical cardiologic intervention (IC) was calculated.
  
  
  RESULTS
  632 AMI cases are recorded, the death rate is 7.8%. The average of hospital stay was 13.3 days. 49.1% of patients benefited from thrombolytic therapy, 55.5% benefited from a coronary angiography and 16.1% of an act of IC. The mean of direct cost (CGM) was 2171 Tunisian Dinars and the median was 1731 DT, of whom room costs 31.7%, 22.5% acts of IC, 7.2% drugs, 26.2% functional investigations and 12.4% biological analyses. The mean cost of IC was 3030 +/- 401 DT.
  
  
  CONCLUSIONS
  The methodology of our study remains original in our country and can be used to assess the other aspects of AMI as other diseases cost management.
authors.affiliation: Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.
authors.forename: Hajer
authors.initials: H
authors.lastname: Aounallah Skhiri
authors.forename: Imen
authors.initials: I
authors.lastname: Ben Abdelkrim
authors.forename: Horma
authors.initials: H
authors.lastname: Ouldezein
authors.forename: Chokri
authors.initials: C
authors.lastname: Arfa
authors.forename: Habiba
authors.initials: H
authors.lastname: Ben Romdhane
authors.forename: Mohamed N
authors.initials: MN
authors.lastname: Kafsi
authors.forename: Ali
authors.initials: A
authors.lastname: Belhani
authors.forename: Habib
authors.initials: H
authors.lastname: Haoula
authors.forename: Rachid
authors.initials: R
authors.lastname: Mechmèche
authors.forename: Rachid
authors.initials: R
authors.lastname: Boujnah
authors.forename: Salem
authors.initials: S
authors.lastname: Kachboura
authors.forename: Noureddine
authors.initials: N
authors.lastname: Achour
authors.forename: Mohamed
authors.initials: M
authors.lastname: Gueddiche
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000191:economics*; D011446:Prospective Studies; D014416:Tunisia