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Stress echocardiography in the district hospital setting: a cost-saving analysis

Stress echocardiography in the district hospital setting: a cost-saving analysis
Stress echocardiography in the district hospital setting: a cost-saving analysis
Aims: Accurate and cost-effective techniques are required for investigating patients experiencing chest pain, given the significant workload this patient cohort represents. We determined the cost impact of stress echocardiography compared with myocardial perfusion scintigraphy and coronary angiography in the investigation of patients with chest pain deemed unsuitable for exercise treadmill testing.

Methods and results: A total of 200 patients with chest pain—with a low–intermediate probability of coronary artery disease—consecutively referred for stress echocardiography were recruited. Referring clinicians were asked which management strategy they would have chosen were the stress echocardiography service unavailable. The cost saving of stress echocardiography, an accuracy analysis, and adverse outcomes at 6 and 24 months follow-up were determined. The total cost attributable to the stress echocardiography service was £58 368. If unavailable, 78 (39%) patients would have been referred for angiography and 122 (61%) for perfusion scintigraphy at a cost of £56 316 and £42 090, respectively, with a total cost of £98 406. This represents a cost saving of £40 038.

Conclusion: Stress echocardiography is a cost saving method for the investigation of chest pain in patients with low–intermediate risk of flow limiting coronary artery disease in the district hospital setting.
stress echocardiography, cost saving, myocardial perfusion scintigraphy, coronary angiography
1525-2167
401-405
Wennike, N.
3403e52f-9a84-4867-878d-98a17e877f06
Shah, B.N.
1e491535-d9e7-4784-8f1a-9c2f81e2225f
Boger, E.
00d7d859-085e-40b4-8a61-bcb1995f27c9
Senior, R.
b369903e-0bbb-4ef1-af7c-27d24b4320c8
Greaves, K.
247b2c3f-4413-466b-b525-b1a730b23943
Wennike, N.
3403e52f-9a84-4867-878d-98a17e877f06
Shah, B.N.
1e491535-d9e7-4784-8f1a-9c2f81e2225f
Boger, E.
00d7d859-085e-40b4-8a61-bcb1995f27c9
Senior, R.
b369903e-0bbb-4ef1-af7c-27d24b4320c8
Greaves, K.
247b2c3f-4413-466b-b525-b1a730b23943

Wennike, N., Shah, B.N., Boger, E., Senior, R. and Greaves, K. (2010) Stress echocardiography in the district hospital setting: a cost-saving analysis. European Journal of Echocardiography, 11 (5), 401-405. (doi:10.1093/ejechocard/jep223). (PMID:20067915)

Record type: Article

Abstract

Aims: Accurate and cost-effective techniques are required for investigating patients experiencing chest pain, given the significant workload this patient cohort represents. We determined the cost impact of stress echocardiography compared with myocardial perfusion scintigraphy and coronary angiography in the investigation of patients with chest pain deemed unsuitable for exercise treadmill testing.

Methods and results: A total of 200 patients with chest pain—with a low–intermediate probability of coronary artery disease—consecutively referred for stress echocardiography were recruited. Referring clinicians were asked which management strategy they would have chosen were the stress echocardiography service unavailable. The cost saving of stress echocardiography, an accuracy analysis, and adverse outcomes at 6 and 24 months follow-up were determined. The total cost attributable to the stress echocardiography service was £58 368. If unavailable, 78 (39%) patients would have been referred for angiography and 122 (61%) for perfusion scintigraphy at a cost of £56 316 and £42 090, respectively, with a total cost of £98 406. This represents a cost saving of £40 038.

Conclusion: Stress echocardiography is a cost saving method for the investigation of chest pain in patients with low–intermediate risk of flow limiting coronary artery disease in the district hospital setting.

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More information

Published date: 2010
Keywords: stress echocardiography, cost saving, myocardial perfusion scintigraphy, coronary angiography
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 367869
URI: http://eprints.soton.ac.uk/id/eprint/367869
ISSN: 1525-2167
PURE UUID: 498304d5-04bc-483d-a08e-d0586e2526cc

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Date deposited: 09 Sep 2014 12:30
Last modified: 14 Mar 2024 17:37

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Contributors

Author: N. Wennike
Author: B.N. Shah
Author: E. Boger
Author: R. Senior
Author: K. Greaves

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