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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Potential influence of acute CT on inpatient costs in patients with ischemic stroke

S Gleason1, K L Furie, M H Lev

  • 1Department of Economics, Trinity College, Hartford, CT 06106, USA.

Academic Radiology
|November 9, 2001
PubMed

Insights

Implementing a computed tomographic (CT) angiography and CT perfusion protocol for ischemic stroke patients could save billions. This advanced imaging strategy offers significant cost reductions in acute stroke care.

Area of Science:

  • Neurology
  • Radiology
  • Health Economics

Background:

  • Ischemic stroke patient outcomes vary based on underlying pathology.
  • Emergency imaging protocols significantly influence stroke management and costs.

Purpose of the Study:

  • To determine the cost implications of an emergency computed tomographic (CT) protocol.
  • This protocol includes unenhanced CT, CT angiography, and CT perfusion.

Main Methods:

  • Retrospective analysis of patient data and public cost data.
  • Cost modeling compared CT angiography-CT perfusion protocol with traditional methods.
  • Calculated savings based on reduced length of stay and avoided misdiagnosis costs.

Main Results:

  • Nationwide savings estimated between $1.2 billion and $1.8 billion.
  • Savings depend on whether lacunar strokes are treated acutely or nonacutely.
  • Sensitivity testing confirmed the robustness of cost-saving estimates.

Conclusions:

  • Implementing a CT angiography-CT perfusion protocol has significant potential economic benefits.
  • Prompt advanced CT imaging can reduce the overall cost of acute stroke care.
Abstract

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