Clinical and cost effectiveness of percutaneous coronary intervention for patients with chronic coronary artery disease during overnight hospitalization
| Autor: | A. V. Skorobogatova, Production Complex, Y. V. Danilushkin, F. T. Ageev, G. A. Silvestrova, D. C. Bubnov, S. K. Vladimirov, N. S. Shamrina, R.V. Atanesyan, A. B. Basinkevich, Yu.G. Matchin |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Cost effectiveness business.industry medicine.medical_treatment Percutaneous coronary intervention medicine.disease Coronary artery disease Intervention (counseling) Emergency medicine medicine In patient cardiovascular diseases Endovascular treatment Patient group Cardiology and Cardiovascular Medicine business Medical costs health care economics and organizations |
| Zdroj: | Kardiologiia. 17:36-45 |
| ISSN: | 0022-9040 |
| DOI: | 10.18087/cardio.2450 |
| Popis: | 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: | OpenAIRE |
| Externí odkaz: |
|