title: [Costs of healthcare resource consumption after a myocardial infarction in France: An estimate from a medicoadministrative database (GSB)].
abstract: OBJECTIVE
  To estimate the costs of healthcare resource consumption in the year preceding and the year following a myocardial infarction (MI).
  
  
  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.
  
  
  CONCLUSIONS
  From a society perspective, the cost of healthcare resource consumption increased threefold in the year following an MI.
authors.affiliation: Département de pathologie cardiaque, institut mutualiste Montsouris, 75014 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Philippe
authors.affiliation: Unité de pharmaco-épidémiologie, département de pharmacologie, université Victor-Segalen Bordeaux 2, 33000 Bordeaux, France.
authors.forename: P
authors.initials: P
authors.lastname: Blin
authors.affiliation: CEMKA-EVAL, 43, boulevard du Maréchal-Joffre, 92340 Bourg-la-Reine, France. Electronic address: Stephane.bouee@cemka.fr.
authors.forename: S
authors.initials: S
authors.lastname: Bouée
authors.affiliation: CEMKA-EVAL, 43, boulevard du Maréchal-Joffre, 92340 Bourg-la-Reine, France.
authors.forename: C
authors.initials: C
authors.lastname: Laurendeau
authors.affiliation: CEMKA-EVAL, 43, boulevard du Maréchal-Joffre, 92340 Bourg-la-Reine, France.
authors.forename: E
authors.initials: E
authors.lastname: Torreton
authors.affiliation: Inserm UMS 011, 94807 Villejuif, France.
authors.forename: J
authors.initials: J
authors.lastname: Gourmelin
authors.affiliation: Merck, Sharpe & Dohme, 92400 Courbevoie, France.
authors.forename: M
authors.initials: M
authors.lastname: Velkovski-Rouyer
authors.affiliation: Merck, Sharpe & Dohme, 92400 Courbevoie, France.
authors.forename: L
authors.initials: L
authors.lastname: Levy-Bachelot
authors.affiliation: Inserm U-698, université Paris-Diderot, 75013 Paris, France; Département de cardiologie, hôpital Bichat, Assistance publique-Hôpitaux de Paris, 75018 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Steg
mesh_terms: D000368:Aged; D017281:Cost of Illness; D005260:Female; D005602:France; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000191:economics*; D011788:Quality of Life; D012017:Referral and Consultation / Q000191:economics*; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index
keywords: Cost; Coût; France; Infarctus du myocarde; Myocardial infarction