[Clinical and cost effectiveness of percutaneous coronary intervention for patients with chronic coronary artery disease during overnight hospitalization].

Autor:	Basinkevich AB; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Matchin YG; Institute of Cardiology of Russian Cardiology Scientific and Production Complex., Bubnov DC; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Silvestrova GA; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Shamrina NS; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Atanesyan RV; Institute of Cardiology of Russian Cardiology Scientific and Production Complex., Danilushkin YV; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Skorobogatova AV; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Ageev FT; Federal State Budgetary Institution, 'Russian Cardiology Science and Production Center' of the Ministry of Health of the Russian Federation., Vladimirov SK; Federal State Budgetary Educational Institution of Higher Education 'I. M. Sechenov First Moscow State Medical University' of the Ministry of Health of the Russian Federation.
Jazyk:	ruština
Zdroj:	Kardiologiia [Kardiologiia] 2018 SMar (S3), pp. 36-45.
Abstrakt:	Aim: To evaluate cost effectiveness of coronary endovascular treatment in patients with stable IHD during "one-night" hospitalization. Materials and Methods: Using the cost-minimization analysis direct medical cost of coronary endovascular treatment in patients with stable IHD during the "one-night" hospitalization was compared with the "classic" hospitalization. Results: The most cost-effective strategy for hospitalization of patients for transcutaneous coronary intervention (TCI) with stenting was the "one-night" hospitalization. Differences in direct medical costs (DMC) were statistically significant (p=0.01) in favor of the patient group hospitalized for one night. Conclusion: The "one-night" hospitalization plan for patients with stable IHD to undergo TCI with stenting increases the cost-effectiveness due to the decreased number of days of stay in the hospital and the associated decrease in cost of in-patient maintenance, which resultes in considerable financial savings (Δ between the hospitalization plans was 21.2 % in favor of the "one-might" hospitalization). This Δ indicates high cost effectiveness of the selected approach.
Databáze:	MEDLINE
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