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Revista chilena de cardiología
versión On-line ISSN 0718-8560
Resumen
GOMEZ, José Miguel; REBOLLEDO, Jame; LOPEZ, Paulina y CANO, Marcelo. Cardiovascular rehabilitation program in post myocardial infarction: a theoretical analysis of cost effectiveness. Rev Chil Cardiol [online]. 2016, vol.35, n.3, pp.242-248. ISSN 0718-8560. http://dx.doi.org/10.4067/S0718-85602016000300005.
Although the effectiveness of secondary prevention programs in patients with cardiovascular disease (CVD) has been widely demons-trated, its implementation both in Chile and other countries has been scarce. Aim: To determine the cost-effectiveness of an evidence-based theoretical comprehensive cardiac rehabilitation (CCR), validated by experts, for post-acute myocardial infarction (AMI) patients at the secondary level from the Chilean Public Health System. Methods: A theoretical protocol of a CCR program based on recommendations from international guidelines (AHA, AACVPD, NICE, ESC, NHMRC, Victoria) was elaborated and adjusted to the Chilean conditions. A cost analysis was performed. Life years due to premature death were estimated with and without participation in the cardiac rehabilitation program (CRP). We obtained gained life-years, and calculated the ratio of cost-effectiveness. Results: The annual cost of the cardiac rehabilitation center is $ 64,407,065 CLP. The Incremental Cost Effectiveness Ratio (ICER) considering a reduction in late mortality of 25%, is CLP$475.209,72/ AVG. Since it is less than one per capita gross domestic product, it is considered as a very cost-effective intervention. Conclusion: A comprehensive cardiac rehabilitation program post AMI is very cost-effective for use in a in public health service. It should be considered to review Optimal frequency and intensity of exercise in order to achieve optimal results should be determined.
Palabras clave : myocardial infarction; rehabilitation; cardiovascular; cost-effectiveness.