Batna Journal of Medical Sciences
Volume 10, Numéro 1, Pages 79-84
2026-02-02

Economic Burden Of Managing Acute Coronary Syndrome At The Cardiology Department Of Oran University Hospital



Authors : Ghouaimi Zakaria . Kerrouche Mohamed . Boudali Yahia . Kouaidia Fatima Zohra . Bendada Mohamed Amine . Fellag Chahira . Benatta Nadia . Toumi Houari .

Abstract

Introduction: Acute coronary syndrome (ACS) is a major cardiovascular emergency associated with a considerable clinical and economic burden. In middle-income countries, data on its hospital costs remain limited. Objective: To describe the components and direct hospital costs of ACS in an Algerian public hospital. Methods: A descriptive health economics study of the "cost of illness" type was conducted on 229 patients hospitalized for ACS in the cardiology department of the Oran University Hospital. Only direct hospital costs, both medical and non-medical, were included. The estimation was based on the micro-costing method, incorporating clinical, organizational, and logistical expenses. Costs, expressed in Algerian dinars (DZD), were converted to euros (€). Results: The mean total cost of hospitalization was DZD 315,921 (€2,368.80) for patients who received thrombolysis, DZD 241,550 (€1,811.10) for those who underwent coronary angiography/PCI, and DZD 180,413 (€1,352.70) for patients who did not undergo revascularization (p < 0.001). A strong positive correlation was observed between length of hospital stay and total cost (ρ = 0.673; p < 0.001). Non-medical costs (salaries, logistics, maintenance) constituted the predominant share. Conclusion: PCI appears to be the most efficient strategy in the context studied, combining shorter hospital stays and resource optimization, despite a high initial technical cost. These results highlight the need to integrate economic evaluation into national policies for the management of acute coronary syndrome (ACS) and to encourage multicenter studies that include long-term costs.

Keywords

Acute coronary syndrome ; Hospital cost ; Microcosting ; Algeria ; Health economics

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