Cardiovascular Disease  /  Economic Burden

Approximately 85.6 million Americans suffer from some form of cardiovascular disease (CVD) and close to 1 in 3 deaths result from CVD. These are not only deadly but costly diseases with CVD and stroke costing around $320 billion each year.

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    • Average Length of Hospital Stay for Stroke Patients
      The average length of stay for hospitalized stroke patients was 4.7 days in 2014.  
    • The annual total incremental per patient health care expenditures for heart valve disease patients ranged from $1,755 in 1996 to $12,789 in 2011.
       
    • Total medical costs per patient with medically managed SAS
       
    • Total cost of heart valve disease in the U.S.
       
    • Mitral valve disease costs
      Mitral valve disease (symptomatic and asymptomatic) costs the U.S. at least $13.2 billion in direct healthcare expenditures each year.  
    • Five-year health care resource use in medically managed SAS patients
       
    • Mean 5-Year Cumulative Total Medical Costs Per Medically Managed (No AVR) Severe AS Patient
       
    • SAS patient hospitalization costs
      Symptomatic aortic stenosis (SAS) patients who do not undergo treatment cost Medicare as much as $1.3 billion each year due to rehospitalization, prolonged stays, admissions to skilled nursing facilities, and…  
    • Aortic valve disease costs
      Aortic valve disease (AVD) (symptomatic and asymptomatic) costs the U.S. $10.2 billion in direct costs each year.  
    • AFib, an economic burden
      AFib is a major economic burden for the U.S. with at least $6.65 billion in healthcare costs attributable to the disease each year. This estimate may be low. One study…  
    • Inpatient & outpatient AFib treatment costs
      Distribution of inpatient and selected outpatient costs for treating AFib.  
    • Annual direct cost of Afib
      Average annual cost comparison between patients with and without atrial fibrillation  
    • Medical service utilization in AFib
      Medical service utilization in persons with and without atrial fibrillation  
    • Annual AFib care
      Each year AFib leads to around 350,000 hospitalizations, 5 million office visits, 276,000 emergency department visits, and 234,000 hospital outpatient department visits.  
    • Average length of stay for major bleeding complications
      The average length of stay for major bleeding complications is six days.  
    • Hospitalization costs for patients with nonrecurrent ischemic stroke
      The cost of hospitalization for patients with nonrecurrent ischemic stroke is $4,991 more in patients with atrial fibrillation, than in patients without the disease.        
    • Hospital costs for ischemic stroke
      Hospital costs for nonrecurrent ischemic stroke are 20% higher in patients with atrial fibrillation, than in patients without the disease.  
    • The direct medical costs and indirect costs in loss of productivity of heart disease and stroke in the U.S. was estimated at $315.4 billion in 2010.  
    • Between 2000 and 2010, inpatient cardiovascular operations grew from 593,900 to 758,800 annually.  
    • Heart disease costs the U.S. $108.9 billion a year–including direct medical expenses and indirect cost in lost of productivity.  
    • The mean cost per person with stroke in the U.S. in 2007 was estimated at $7,657.  
    • The estimated direct medical cost of stroke in 2008 was $18.8 billion–this includes hospital outpatient stays, emergency department visits, prescribed medications, and home health care.  
    • In 2006, $32.7 billion in program payments were made to Medicare beneficiaries who were discharged from short-stay hospitals with a primary diagnosis of cardiovascular disease–an average of $10,201 per discharge.  
    • The 695,000 hospital stays from acute myocardial infarction in 2004 resulted in $31 billion in inpatient hospital charges.  
    • The 1.1 million hospitalizations for congestive heart failure in 2004 resulted in nearly $29 billion in hospital charges.  
    • In 2004, coronary artery disease was the most expensive condition treated, resulting in more than $44 billion in expenses.  
    • The estimated direct and indirect cost of high blood pressure in 2008 was $50.6 billion.  
    • In 2006, $11.7 billion was paid to Medicare beneficiaries for in-hospital costs when coronary heart disease was the principal diagnosis.  
    • The estimated direct and indirect cost of heart disease in 2008 was $190.3 billion.  
    • In 2008, the estimated direct and indirect cost of cardiovascular disease was $297.7 billion.  
    • The average cost per cardiovascular hospitalization in 2005 was around 41% higher than the average cost for all stays.  
    • The total inpatient hospital cost for cardiovascular disease was $71.2 billion in 2005. This is equal to approximately one fourth of the total cost of inpatient hospital care in…  
    • Annual AFib-related stroke Medicare costs
      Stroke in Medicare patients with atrial fibrillation who were not treated with anticoagulants, cost Medicare $4.8 billion each year in direct costs. Those who had strokes despite prophylactic treatment cost an additional…  
    • In 2006, $3.9 billion was paid to Medicare beneficiaries discharged from short-stay hospitals for stroke.  
    • The mean hospitalization costs for patients admitted for stroke range from $8,000 to $23,000 (in 2008 dollars).  
    • The estimated cost of stroke for the first 30 days after the event is $20,346 for severe ischemic strokes and $13,019 for mild ones.  
    • Of the $73.7 billion cost of stroke in 2010—$21 billion was for hospital costs, $17.1 billion for nursing home costs, $3.8 billion for physicians and other professionals, $1.3 billion for…  
    • The annual direct and indirect costs of stroke are between $40.9 billion and $73.7 billion.  
    • Difference in inpatient care costs between hip-fracture repair patients
      The difference in inpatient care costs between patients who developed venous thromboembolism after orthopedic surgery and those who didn’t, was highest among those who underwent hip-fracture repair. Costs were $10,000 to $13,000…  
    • Inpatient costs for VTE versus no VTE event
      The mean total cost for inpatient care of patients who develop in-hospital venous thromboembolism (VTE) after orthopedic surgery is almost double compared to those who don’t develop VTE—$17,114 for deep vein thrombosis…  
    • Annual cost of treating privately insured patients for AFib
      The annual cost of treating privately insured patients for atrial fibrillation (AF) is $12,350 per patient— approximately 5 times greater than treating patients without AF.  
    • Healthcare costs of atrial fibrillation
      Atrial fibrillation (AF) is a major economic burden for society with the biggest cost driver being hospitalizations—accounting for 52% of costs. Drugs for AF account for 23% of costs, consultations…  
    • Annual cost of AFib-related stroke in Medicare patients
      The annual cost of stroke in Medicare patients with atrial fibrillation is estimated at $8 billion.  
    • Total medical costs for Afib patients over 15-month period
      A study of Medicare beneficiaries with atrial fibrillation found that total medical costs for treating these patients during a 15-month follow-up period were an average of $24,000 per patient—63% of…  
    • Cost of AFib-related stroke in Medicare patients
      The incremental treatment costs associated with stroke in the year following diagnosis of atrial fibrillation are an estimated $7,907 per Medicare patient.  
    • One-Year Cost Component for Atrial Fibrillation & Non AF Medicare Patients
      One-Year Cost Component for AF & Non AF Medicare Patients  
    • AFib Medicare cost
      Medicare alone is estimated to pay $15.7 billion per year to treat newly diagnosed atrial fibrillation patients.  
    • Atrial fibrillation costs
      Around 73% of total U.S. atrial fibrillation costs are for inpatient expenses.  
    • Distribution of inpatient and selected outpatient costs for treating atrial fibrillation
      Distribution of inpatient and selected outpatient costs for treating atrial fibrillation  
    • Direct medical costs for treatment of atrial fibrillation, 2001
      The direct medical costs for ambulatory and outpatient treatment of atrial fibrillation patients in 2001 was  an estimated $1.76 billion. Office visits accounted for 66% of those costs, emergency department…  
    • Estimated hospital costs for atrial fibrillation patients, 2001
      The estimated costs for hospitalization of atrial fibrillation (AF) patients in 2001 were $2.93 billion for patients with AF as their primary discharge diagnosis.  
    • AFib treatment costs, 2001
      In 2001, the estimated treatment costs of atrial fibrillation were $6.65 billion per year—this included hospitalization costs, in- and out-patient care, and medications. This did not include costs of stroke…  
    • The estimated direct and indirect cost of heart failure in the US for 2010 is $39.2 billion.  
    • The estimated direct and indirect cost of high blood pressure for 2010 is $76.6 billion.  
    • The estimated direct and indirect cost of stroke for 2010 is $73.7 billion.  
    • The estimated direct and indirect cost of cardiovascular disease for 2010 is $503.2 billion in the US.  
    • In 2006, $3.9 billion ($7449 per person) was paid to Medicare beneficiaries discharged from short-stay hospitals for stroke.  
    • In 2006, $11.7 billion was paid to Medicare beneficiaries for in-hospital costs when cardiovascular disease was the principal diagnosis.  
    • In 2006, $32.7 billion in program payments were made to Medicare beneficiaries discharged from short-stay hospitals with a principal diagnosis of cardiovascular disease–and average of $10,201 per discharge.  
    • In 2009, the estimated direct and indirect cost of stroke is $68.9 billion.  
    • In 2009, the estimated direct and indirect cost of cardiovascular disease is $165.4 billion.  
    • In the U.S., the estimated direct and indirect cost of cardiovascular disease for 2009 is $475.3 billion.  
    • In 2005, the total inpatient hospital cost for cardiovascular disease was $71.2 billion, about 1/4 of the total cost of inpatient hospital care in the U.S.  
    • In 2003, $4.4 billion ($6,577 per discharge) was paid to Medicare beneficiaries for heart failure.  
    • In 2003, $12.2 billion was paid to Medicare beneficiaries for in-hospital costs when cardiovascular disease was the principal diagnosis ($12,321 per discharge for acute myocardial infarction, $11,783 per discharge for…  
    • In 2003, $31.7 billion in payments were made to Medicare beneficiaries discharged from short-stay hospitals with a principal diagnosis of cardiovascular disease–an average of $8,966 per discharge.  
    • The mean lifetime cost of ischemic stroke in the U.S. is an estimated $140,048. This cost includes inpatient care, rehabilitation, and follow-up care.  
    • In 2001, $3.7 billion was paid to Medicare beneficiaries that were discharged from short-stay hospitals for stroke ($6,037 per discharge).  
    • In 2005, the total inpatient hospital cost for cardiovascular disease was $71.2 billion, approximately 1/4 of the total cost of hospital care in the U.S.  
    • Total hospital costs (inpatients, outpatients, and emergency department patients) projected for the year 2008 are estimated to be $140.1 billion. Cardiovascular disease costs more than any other diagnostic group.  
    • The total direct and indirect cost of CVD and stroke in the United States for 2008 is estimated at $448.5 billion. This figure includes health expenditures (direct costs, which include…  
    • The estimated direct and indirect cost of heart failure in the U.S. for 2008 is $34.8 billion.  
    • The estimated direct and indirect cost of stroke for 2008 is $65.5 billion.  
    • The estimated direct and indirect cost of coronary heart disease for 2008 is $156.4 billion.  
    • The estimated direct and indirect cost of cardiovascular disease for 2008 is $448.5 billion.  
    • About 250,000 Americans each year have an automatic intracardiac defibrillator implanted, at the cost of about $100,000 each.  
    • Heart disease is the #1 most costly medical condition in the U.S. Hypertension is #5 and cerebrovascular disease is #7.  
    • In 2000-2002, for a person without coronary heart disease, hypertension added $1,600 to annual spending and diabetes added $3,600. In patients with coronary heart disease, hypertension added an additional $1,900…  
    • The total economic burden of coronary heart disease is $120.6 billion; of stroke is $48.9 billion.  
    • The annual medical cost of cardiovascular disease is $403.1 billion.  
    • “Cardiovascular disease is the most costly disease in the United States.”  
    • In 2006, cardiovascular disease cost the U.S. close to $400 billion in direct and indirect costs.  
    • The conditions and disabilities associated with stroke cost the United States between $30 billion and $40 billion a year.