Societal costs of out-of-hospital cardiac arrest (OHCA) survivors may be extensive due to high health care utilization and sick leave. Knowledge of the costs of OHCA survivors may guide decision-makers to prioritize health resources. The aims of the study were to evaluate the costs of OHCA survivors from a societal perspective, and to compare these costs to the costs of individuals with non-cardiac arrest myocardial infarction (MI) and individuals with no cardiac disease (non-CD). From the Danish OHCA Registers, survivors, with a cardiac arrest between 2005–2018 were identified. Each case was assigned one MI control and one non-CD control, matched on gender and age. Based on register data, costs of healthcare utilization, sick leave, vocational rehabilitation, disability pension and other social benefits one year before event and five years after, were estimated. In total 5,646 OHCA survivors were identified with associated control groups. The mean costs for OHCA survivors during the 6-year period were €119,106 (95%CI: 116,297–121,916), with €83,472 (95%CI: 81,392–85,552) being healthcare costs. Mean costs of OHCA survivors were €49,132 higher than the MI-control group and €100,583 higher than the non-CD control group. Total costs of OHCA survivors were considerably higher than costs of MI- and non-CD controls. Hospital costs were highest during the first year after event, and work inability during the second to fifth year with sick leave and later disability pension as main burdens.

中文翻译：

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与匹配对照组相比，院外心脏骤停幸存者的费用


由于医疗保健的高利用率和病假，院外心脏骤停 (OHCA) 幸存者的社会成本可能会很高。了解 OHCA 幸存者的费用可以指导决策者优先考虑卫生资源。该研究的目的是从社会角度评估 OHCA 幸存者的成本，并将这些成本与非心脏骤停心肌梗死 (MI) 个体和无心脏病 (非 CD) 个体的成本进行比较。根据丹麦 OHCA 登记册，确定了 2005 年至 2018 年期间心脏骤停的幸存者。每个病例都分配了一名 MI 对照和一名非 CD 对照，性别和年龄相匹配。根据登记数据，估算了事件发生前一年和事件发生后五年的医疗保健利用、病假、职业康复、残疾养老金和其他社会福利的成本。总共 5,646 名 OHCA 幸存者被确定为相关对照组。 OHCA 幸存者在 6 年期间的平均费用为 119,106 欧元（95%CI：116,297–121,916），其中医疗费用为 83,472 欧元（95%CI：81,392–85,552）。 OHCA 幸存者的平均费用比 MI 对照组高 49,132 欧元，比非 CD 对照组高 100,583 欧元。 OHCA 幸存者的总成本远高于 MI 和非 CD 控制的成本。事件发生后第一年的医院费用最高，第二年至第五年无法工作，病假和后来的伤残抚恤金成为主要负担。