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Day case cardiac catheterisation--a safe and economic alternative
C J Murdock1, M A Ireland, M J Davis
1Department of Cardiology, Royal Perth Hospital, Western Australia.
Australian and New Zealand Journal of Medicine
|December 1, 1988
Summary
Cardiac catheterization as a day procedure is safe and cost-effective. This study found low morbidity and mortality, with significant cost savings for hospitals and the community.
Area of Science:
- Cardiology
- Health Economics
Background:
- Cardiac catheterization is a common diagnostic and interventional procedure.
- Historically, cardiac catheterization often required inpatient stays.
- The feasibility of performing cardiac catheterization as a day procedure was investigated.
Purpose of the Study:
- To evaluate the safety and efficacy of cardiac catheterization as a day procedure.
- To assess the complication rates associated with same-day discharge after cardiac catheterization.
- To determine the cost savings associated with day-case cardiac catheterization.
Main Methods:
- Retrospective review of 1398 cardiac catheterization day procedures performed between November 1985 and September 1987.
- Analysis of patient outcomes, including complications and need for overnight admission.
- Calculation of cost savings for the hospital and community.
Main Results:
- 8% of patients required overnight admission due to complications such as hemorrhage, angina, or neurological deficits.
- No deaths were reported among the day-procedure patients.
- Significant cost savings were estimated for the hospital ($41.50/patient) and community ($25/patient), totaling over $85,000 for 1285 patients.
Conclusions:
- Cardiac catheterization can be safely performed as a day procedure.
- The day-procedure model demonstrates low morbidity and mortality rates.
- Implementing cardiac catheterization as a day procedure offers modest but significant cost savings.