Costs of Transradial Percutaneous Coronary Intervention
| Autor: | Andreas Bremer, David M. Safley, Dmitri Baklanov, David J. Cohen, Helmut Giersiefen, David Mathias, Adnan K. Chhatriwalla, Robert A. Applegate, Akinyele O. Aluko, Amit P. Amin, David Wohns, John A. House, Steven P. Marso, Martial Hamon |
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| Jazyk: | angličtina |
| Předmět: |
Male
Cardiac Catheterization Time Factors medicine.medical_treatment Cost-Benefit Analysis costs 030204 cardiovascular system & hematology outcomes 0302 clinical medicine Primary outcome Risk Factors Odds Ratio 030212 general & internal medicine Hospital Mortality Hospital Costs catheterization health care economics and organizations Inverse probability weighting Middle Aged femoral artery 3. Good health Cost savings Models Economic Treatment Outcome radial artery Female Cardiology and Cardiovascular Medicine medicine.medical_specialty Hemorrhage Risk Assessment 03 medical and health sciences Cost Savings medicine.artery medicine Hospital discharge Humans Radial artery Propensity Score Aged business.industry percutaneous coronary intervention Percutaneous coronary intervention Length of Stay United States Surgery Logistic Models Conventional PCI Multivariate Analysis Linear Models business |
| Zdroj: | JACC: Cardiovascular Interventions. (8):827-834 |
| ISSN: | 1936-8798 |
| DOI: | 10.1016/j.jcin.2013.04.014 |
| Popis: | ObjectivesThis study sought to evaluate the costs of transradial percutaneous coronary intervention (TRI) and transfemoral percutaneous coronary intervention (TFI) from a contemporary hospital perspective.BackgroundWhereas the TRI approach to percutaneous coronary intervention (PCI) has been shown to reduce access-site complications compared with TFI, whether it is associated with lower costs is unknown.MethodsTRI and TFI patients were identified at 5 U.S. centers. The primary outcome was the cost of percutaneous coronary intervention (PCI) hospitalization, defined as cost on the day of PCI through hospital discharge. Cost was obtained from each hospital’s cost accounting system. Independent costs of TRI were identified using propensity-scoring methods with inverse probability weighting. Secondary outcomes of interest were bleeding, in-hospital mortality, and length of stay, which were stratified by pre-procedural risk and PCI indication.ResultsIn 7,121 PCI procedures performed from January 1, 2010, to March 31, 2011, TRI was performed in 1,219 (17%) patients and was associated with shorter lengths of stay (2.5 vs. 3.0 days; p |
| Databáze: | OpenAIRE |
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