Details

Autor(en) / Beteiligte

• Lee, Hyejin
• Cho, Juhee
• Shin, Dong Wook
• Lee, Seung-Pyo
• Hwang, Seung-Sik
• Oh, Juhwan
• Yang, Hyung-Kook
• Hwang, Soo-Hee
• Son, Ki Young
• Chun, So Hyun
• Cho, BeLong
• Guallar, Eliseo

Titel

Association of cardiovascular health screening with mortality, clinical outcomes, and health care cost: A nationwide cohort study

Ist Teil von

• Preventive medicine, 2015-01, Vol.70, p.19-25

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2015

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Objective To determine whether a cardiovascular disease (CVD) health screening program is associated with CVD-related health conditions, incidence of cardiovascular events, mortality, healthcare utilization, and costs. Methods Cohort study of a 3% random sample of all Korea National Health Insurance members 40 years of age or older and free of CVD or CVD-related health conditions was conducted. A total 443,337 study participants were followed-up from January 1, 2005 through December 31, 2010. Results In primary analysis, the hazard ratios for CVD mortality, all-cause mortality, incident composite CVD events, myocardial infarction, cerebral infarction, and cerebral hemorrhage comparing participants who attended a screening exam during 2003–2004 compared to those who did not were 0.58 (95% CI: 0.53–0.63), 0.62 (95% CI: 0.60–0.64), 0.82 (95% CI: 0.78–0.85), 0.84 (95% CI: 0.75–0.93), 0.84 (95% CI: 0.79–0.89), and 0.73 (95% CI: 0.67–0.80), respectively. Screening attenders had higher rates of newly diagnosed hypertension, diabetes mellitus, and dyslipidemia, lower inpatient days of stay and cost, and lower outpatient cost compared to non-attenders. Conclusions Participation in CVD health screening was associated with lower rates of CVD, all-cause mortality, and CVD events, higher detection of CVD-related health conditions, and lower healthcare utilization and costs.