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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
554
Cost Analysis From a Randomized Comparison of Immediate Versus Delayed Angiography After Cardiac Arrest.
Cyril Camaro1, Judith L Bonnes1, Eddy M Adang2
1Department of Cardiology Radboud University Medical Center Nijmegen the Netherlands.
Journal of the American Heart Association
|February 23, 2022
Summary
Immediate versus delayed coronary angiography after cardiac arrest showed similar total costs. Higher procedural costs in the immediate group suggest considering a delayed strategy pending neurological recovery.
Area of Science:
- Cardiology
- Health Economics
- Critical Care Medicine
Background:
- Out-of-hospital cardiac arrest (OHCA) patients without ST-segment elevation had similar clinical outcomes with immediate vs. delayed coronary angiography in the COACT trial.
- The impact of these strategies on healthcare resource use and costs remains unevaluated.
Purpose of the Study:
- To assess and compare the health care resource utilization and associated costs between immediate and delayed coronary angiography strategies in OHCA patients.
Main Methods:
- 538 patients were randomized to immediate or delayed coronary angiography.
- Detailed health care resource use and cost data were collected during the initial hospital stay.
- Generalized linear models, gamma distribution, and RAND-36 quality of life questionnaire at 12-month follow-up were used for analysis.
Main Results:
- Overall mean total costs were comparable between the immediate and delayed angiography groups (EUR 33,575 vs. EUR 33,880; P=0.86).
- Procedural costs (angiography, PCI, CABG) were significantly higher in the immediate group (P<0.001).
- Intensive care unit and ward stay costs, as well as quality of life, did not differ significantly between groups.
Conclusions:
- The total healthcare costs during the initial hospital stay were similar for immediate and delayed coronary angiography strategies in OHCA patients.
- Given the higher procedural costs associated with immediate angiography, a strategy involving delayed angiography after neurological recovery may be a more cost-effective approach.
Keywords:
coronary angiographyhealth care costsnon–ST‐segment–elevation myocardial infarctionout‐of‐hospital cardiac arrestMore Related Videos
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