[The cost of acute myocardial infarction management: the Tunisian experience].
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.
Aounallah Skhiri
Hajer
H
Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.
Ben Abdelkrim
Imen
I
Ouldezein
Horma
H
Arfa
Chokri
C
Ben Romdhane
Habiba
H
Kafsi
Mohamed N
MN
Belhani
Ali
A
Haoula
Habib
H
Mechmèche
Rachid
R
Boujnah
Rachid
R
Kachboura
Salem
S
Achour
Noureddine
N
Gueddiche
Mohamed
M
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