Studies Conducted at Eternal Heart Care Centre and Research Institute on Risk and Prevention Recently Published (Association of health insurance status with coronary risk factors, coronary artery disease, interventions and outcomes in India): Cardiology – Risk and Prevention

Insurance Daily News

2022 SEP 12 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on risk and prevention have been presented. According to news originating from Jaipur, India, by NewsRx editors, the research stated, “Coronary artery disease (CAD) related hospitalization and interventions are associated with catastrophic out-of-pocket health expenditure in India. To evaluate differences in risk factors, disease severity, management and outcomes in uninsured vs insured CAD patients we performed a study.”

Our news journalists obtained a quote from the research from Eternal Heart Care Centre and Research Institute: “Successive CAD patients who underwent percutaneous intervention (PCI) at our centre were enrolled from January 2018 to June 2021. Clinical, angiographic and intervention data were periodically uploaded in the American College of Cardiology CathPCI platform. Descriptive statistics are reported. 4672 CAD patients (men 3736, women 936) were included; uninsured were 2166 (46%), government insurance was in 1635 (36%) and private insurance in 871 (18%). Mean age was 60.1 ± 11 years, uninsured <50y were 21.6% vs 14.0% and 20.3% with government and private insurance. Among the uninsured prevalence of raised total and non-HDL cholesterol, any tobacco use, ST-elevation myocardial infarction (STEMI) and ejection fraction <30% were more (p < 0.01). In the STEMI group (n = 1985), rates of primary PCI were the highest in those with private insurance (38.7%) compared to others. Multivessel stenting ( 2 stents) was more among the insured patients. Median length of hospital stay was similar in the three groups. In-hospital mortality was slightly more in the uninsured (1.43%), compared to government (0.88) and privately insured (0.82) (p = 0.242). The cost of hospitalization and procedures was the highest among uninsured (US$ 2240, IQR 1877-2783) compared to government (US$ 1977, IQR 1653-2437) and privately insured (US$ 2013, IQR 1668-2633) (p < 0.001).”

According to the news reporters, the research concluded: “Uninsured CAD patients in India are younger with more risk factors, acute coronary syndrome, STEMI, multivessel disease and coronary stenting compared to those with government or private insurance. The uninsured bear significantly greater direct costs with slightly greater mortality.”

For more information on this research see: Association of health insurance status with coronary risk factors, coronary artery disease, interventions and outcomes in India. International Journal of Cardiology. Cardiovascular Risk and Prevention, 2022,14():200146. The publisher for International Journal of Cardiology. Cardiovascular Risk and Prevention is Elsevier.

A free version of this journal article is available at https://doi.org/10.1016/j.ijcrp.2022.200146.

Our news editors report that additional information may be obtained by contacting Jitender S. Makkar, Departments of Cardiology, Eternal Heart Care Centre and Research Institute, Jaipur, 302017, India. Additional authors for this research include Rajeev Gupta, Sanjeev K. Sharma, Ansh Agarwal, Krishna K. Sharma, Ajeet Bana, Atul Kasliwal, Sanjeev K. Sidana, Prem Ratan Degawat, Kush K. Bhagat, Vishnu Natani, Raghubir S. Khedar, Samin K. Sharma.