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ORIGINAL ARTICLE
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 26-29

Assessment of economic Burden and quality of life in stable coronary artery disease patients


1 Department of Clinical Research, Delhi Institute of Pharmaceutical Sciences and Research, New Delhi, India
2 Department of Medicine, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Lalit Kumar
Department of Clinical Research, Delhi Institute of Pharmaceutical Sciences and Research, M.B Road, Pushp Vihar, Sector- 3, New Delhi - 110 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJMS.INJMS_1_18

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Background: Coronary artery disease (CAD) is known to adversely impact the quality of life (QOL) of the patients and poses an economic burden to the family and society. However, the same has not been estimated in India. Objectives: To estimate the annual economic burden (direct and indirect cost) and QOL in stable CAD patients at a Government Tertiary Care Hospital of Delhi, India. Materials and Methods: A cross-sectional study was carried out in a Government Tertiary Care Hospital of Delhi using a convenient sample of 113 CAD patients. A prestructured pretested questionnaire was used to collect information on direct and indirect costs of therapy for CAD patients, and QOL assessment was done using SF-36 questionnaire. Results: The total average annual cost incurred by patients of stable CAD was Indian National Rupees 15691.45, of which 78.49% was attributable to direct cost (drugs, supplements, diagnostic tests, and transportation charges) while 21.5% to the indirect costs (wage loss of the patient and caretaker, during the days of hospitalization). Both the components of QOL, namely, physical component score (PCS) and mental component score (MCS) were reduced in the stable CAD patients. PCS was 35.53 and MCS was 39.16. Conclusion: CAD poses not only an economic burden on the patient, family, and the society but is also associated with impairment of QOL of the patient too.


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