Advanced Imaging Reduces Cost Compared to Standard of Care in Emergency Department of Triage of Acute Chest Pain.

ABSTRACT:

Objective

To evaluate medical costs of novel therapies in complex medical settings using registry data.

Data source/study setting

Primary data, from 2008 to 2010. We used patient registry data to evaluate cost and quality performance of coronary computed tomography angiography (CCTA) in triaging chest pain patients in our tertiary care emergency department and to model financial performance under Medicare's two midnight rule.

Study design

Using generalized linear modeling, we retrospectively compared estimated expenditures for evaluation of low-to-intermediate-risk chest pain for demographic and medically risk matched samples of 894 patients each, triaged with CCTA or local standard of care (SOC) using Medicare reimbursement as a proxy.

Data collection/extraction m

SUBMITTER: Noack PS 

PROVIDER: S-EPMC6052015 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature