%0 Journal Article
%T Estimation of the Direct Cost of Management of Venous Thromboembolism in Three Reference Hospitals in the City of Yaoundé: A Retrospective Study over a Three-Year Period
%A Hamadou Ba
%A Nganou-Ngnindjio Chris Nad¨¨ge
%A Tatchim Samuel Aim¨¦
%A Kamdem F¨¦licit¨¦
%A Tchoukoua Serge Honor¨¦
%A Ahmadou Jingi
%A Danwe Dieudonne
%A Kingue Samuel
%J World Journal of Cardiovascular Diseases
%P 99-114
%@ 2164-5337
%D 2024
%I Scientific Research Publishing
%R 10.4236/wjcd.2024.142009
%X <strong>Background:</strong><span><span><span style=\"font-family:;\" \"=\"\"> Venous thromboembolism (VTE) is a major public health problem due to its
increasing frequency, mortality and management cost. This cost may require
major financial efforts from patients, especially in developing countries like
ours where less than 7% of the population has health insurance. This study
aimed to estimate the direct cost of managing VTE in three reference hospitals
in Yaound¨¦. <b>Methods:</b> This was a cross-sectional retrospective study over
a three-year period (from January 1st 2018 to December 31 2020) carried out in
the Cardiology departments of the Central and General Hospitals, and the
Emergency Centre of the city of Yaound¨¦. All patients managed during the study
period for deep vein thrombosis </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">and</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> pulmonary embolism confirmed by venous ultrasound coupled with Doppler </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">and</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> computed tomography pulmonary angiography respectively were included.
For each patient, we collected sociodemographic and clinical data as well as
data on the cost of consultation, hospital stay, workups and medications. These
data were analysed using SPSS version 23.0. <b>Results:</b> A total of 92
patient¡¯s records were analysed. The median age was 60 years [48 </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">-</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> 68]
with a sex ratio of 0.53. The median direct cost of management of venous
thromboembolism was 766,375 CFAF [536,455 </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">-</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> 1,029,745] or $1415 USD. Management of pulmonary embolism associated with deep
vein thrombosis was more costly than isolated pulmonary embolism or deep vein
thrombosis. Factors influencing the direct cost of management of venous
thromboembolism were: hospital structure (p = 0.015), health insurance (p </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">&lt;</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> 0.001), type of pulmonary
embolism (p = 0.021), and length of hospital stay (p = 0.001).</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> <b>Conclusion:</b> Management of VTE is a major
%K Cost
%K Management
%K Venous Thromboembolism
%K Yaound&#233
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131504