Economic and societal impact of a systems-of-care approach for stemi management in low and middle-income countries: Insights from the tn stemi program

Varshini Neethi Mohan; Thomas Alexander; V. R. Muraleedharan; Ajit Mullasari; Jagat Narula; Umesh N. Khot; Brahmajee K. Nallamothu; Dharam J. Kumbhani

doi:10.5334/aogh.2508

Economic and societal impact of a systems-of-care approach for stemi management in low and middle-income countries: Insights from the tn stemi program

Varshini Neethi Mohan, Thomas Alexander, V. R. Muraleedharan, Ajit Mullasari, Jagat Narula, Umesh N. Khot, Brahmajee K. Nallamothu, Dharam J. Kumbhani

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8 Scopus citations

Abstract

The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.

Original language	English (US)
Article number	122
Journal	Annals of Global Health
Volume	85
Issue number	1
DOIs	https://doi.org/10.5334/aogh.2508
State	Published - 2019

ASJC Scopus subject areas

General Medicine

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title = "Economic and societal impact of a systems-of-care approach for stemi management in low and middle-income countries: Insights from the tn stemi program",

abstract = "The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.",

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AU - Alexander, Thomas

AU - Muraleedharan, V. R.

AU - Mullasari, Ajit

AU - Narula, Jagat

AU - Khot, Umesh N.

AU - Nallamothu, Brahmajee K.

AU - Kumbhani, Dharam J.

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Economic and societal impact of a systems-of-care approach for stemi management in low and middle-income countries: Insights from the tn stemi program

Abstract

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