Preview

Rational Pharmacotherapy in Cardiology

Advanced search

CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

https://doi.org/10.20996/1819-6446-2012-8-1-57-60

Abstract

Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC) in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

About the Authors

N. I. Gaponova
Moscow State University of Medicine and Dentistry Moscow Emergency Medical Care Station named after A.S. Puchkov
Russian Federation


N. F. Plavunov
Health Department of Moscow
Russian Federation


V. L. Baratashvili
Moscow Emergency Medical Care Station named after A.S. Puchkov
Russian Federation


References

1. Ruksin V .V ., Grishin O.V . Emergency care for high blood pressure, not life-threatening. Kardiologiia 2011; 2: 45–51. Russian (Руксин В.В., Г ришин О.В. Неотложная помощь при повышении артериального давления, не угрожающем жизни. Кардиология 2011; (2): 45–51).

2. Demographic Yearbook of Russia 2008. Statistical Yearbook. Moscow: Rosstat; 2008. Russia (Демографический ежегодник России 2008. Статистический сборник. М.: Росстат; 2008).

3. Slepushenko I.A. Improving the organization of emergency medical services in the Russian Federation. Skoraya pomoshch' 2007; 3: 3–6. Russian (Слепушенко И.А. Совершенствование организации скорой медицинской помощи в Российской Федерации. Скорая помощь 2007; 3: 3–6).

4. Tereshchenko S.N., Plavunov N.F . Hypertensive crises. Moscow: MEDpress-inform; 2011. Russian (Терещенко С.Н., Плавунов Н.Ф. Гипертонические кризы. М.: МЕДпресс-информ; 2011).

5. Kolos I.P ., Chazova I.E., Tereshchenko S.N., Nakonechnikov S.N. The risk of cardiovascular complications in patients with frequent hypertensive crisis. Preliminary results of the multicenter retrospective case-control OSADA study. Ter Arkhiv 2009; (9): 9-12. Russian (Колос И.П., Чазова И.Е., Терещенко С.Н., Наконечников С.Н. Риск развития сердечно-сосудистых осложнений у пациентов с частыми гипертоническими кризами. Предварительные результаты многоцентрового ретроспективного исследования случай — контроль ОСАДА. Тер Архив 2009; (9): 9-12).

6. Oganov R.G., Maslennikova G.Ya. Cardiovascular disease and the demographic situation in Russia. I Proceedings of the National Congress "Cardioneurology." Moscow, 1-2 December 2008, Moscow: 18-23. Russian (Оганов Р .Г ., Масленникова Г .Я. Сердечно-сосудистые заболевания и демографическая ситуация в России. Труды I Национального конгресса «Кардионеврология». Москва, 1-2 декабря 2008 г . М.: 18-23).

7. National guidelines for a rational pharmacotherapy of patients with cardiovascular diseases. Available at: http://scardio.ru/downloads/c4m0i257/recomendacii.doc. Date of access: 02/22/2012. Russian (Национальные рекомендации по рациональной фармакотерапии больных сердечно-сосудистыми заболеваниями. Доступно на: http://scardio.ru/downloads/c4m0i257/recomen- dacii.doc. Дата доступа: 22.02.2012).

8. Moscow Government Decree of 06 April 2010 № 290-PP "On the territorial program of state guarantees to the population of Moscow providing free medical care in 2010”. Russian (Постановление Правительства Москвы от 06 апреля 2010г №290-ПП «О территориальной программе государственных гарантий оказания населению города Москвы бесплатной медицинской помощи на 2010 год»).

9. Gaponova N.I., Plavunov N.F ., Tereshchenko S.N. et al. clinical and statistical analysis of hypertension complicated by hypertensive crisis in Moscow in 2005 to 2009. Kardiologiia 2011; 2:44-49. Russian (Г апонова Н.И., Плавунов Н.Ф., Терещенко С.Н. и др. Клинико-статистический анализ артериальной гипертензии, осложненной гипертоническим кризом в г . Москве за 2005-2009гг . Кардиология 2011; 2:44-49).


Review

For citations:


Gaponova N.I., Plavunov N.F., Baratashvili V.L. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE. Rational Pharmacotherapy in Cardiology. 2012;8(1):57-60. (In Russ.) https://doi.org/10.20996/1819-6446-2012-8-1-57-60

Views: 722


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)