Direct hospital costs of chest pain patients attending the emergency department: A retrospective study

BMC Emergency Medicine

Volumn 6, Issue , 2006, Pages

  Forberg, Jakob L ^a   Henriksen, Louise S ^b   Edenbrandt, Lars ^a,c   Ekelund, Ulf ^a  

^a LUND UNIVERSITY HOSPITAL   (Sweden)

^b Department of International Economics and Management   (Denmark)

^c SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE CORONARY SYNDROME; ADULT; AGED; ARTICLE; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC TEST; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL DISCHARGE; HUMAN; INFORMATION RETRIEVAL; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; PATIENT SELECTION; QUANTITATIVE ANALYSIS; RETROSPECTIVE STUDY; SWEDEN; THEORETICAL STUDY; THORAX PAIN;

EID: 33745765209     PISSN: 1471227X     EISSN: 1471227X     Source Type: Journal    
DOI: 10.1186/1471-227X-6-6     Document Type: Article

References (24)

1. Ekelund U, Nilsson HJ, Frigyesi A, Torffvit O: Patients with suspected acute coronary syndrome in a university hospital emergency department: an observational study. BMC Emerg Med 2002, 2:1-7.
2. Tosteson AN, Goldman L, Udvarhelyi IS, Lee TH: Cost-effectiveness of a coronary care unit versus an intermediate care unit for emergency department patients with chest pain. Circulation 1996, 94:143-50.
3. Goodacre S, Calvert N: Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain. Emerg Med J 2003, 20:429-33.
4. Goodacre S, Nicholl J, Dixon S, Cross E, Angelini K, Arnold J, Revill S, Locker T, Capewell SJ, Quinney D, et al.: Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. Bmj 2004, 328:254.
5. Wears RL, Li S, Hernandez JD, Luten RC, Vukich DJ: How many myocardial infarctions should we rule out? Ann Emerg Med 1989, 18:953-63.
6. McCullough PA, Ayad O, O'Neill WW, Goldstein JA: Costs and outcomes of patients admitted with chest pain and essentially normal electrocardiograms. Clin Cardiol 1998, 21:22-6.
7. Stowers SA, Eisenstein EL, Th WF, Berman DS, Blackshear JL, Jones AD Jr, Szymanski TJ Jr, Lam LC, Simons TA, Natale D, et al.: An economic analysis of an aggressive diagnostic strategy with single photon emission computed tomography myocardial perfusion imaging and early exercise stress testing in emergency department patients who present with chest pain but nondiagnostic electrocardiograms: results from a randomized trial. Ann Emerg Med 2000, 35:17-25.
8. Gomez MA, Anderson JL, Karagounis LA, Muhlestein JB, Mooers FB: An emergency department-based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO). J Am Coll Cardiol 1996, 28:25-33.
9. Gaspoz JM, Lee TH, Weinstein MC, Cook EF, Goldman P, Komaroff AL, Goldman L: Cost-effectiveness of a new short-stay unit to "rule out" acute myocardial infarction in low risk patients. J Am Coll Cardiol 1994, 24:1249-59.
10. Solinas L, Raucci R, Terrazzino S, Moscariello F, Pertoldi F, Vajto S, Badano LP: Prevalence, clinical characteristics, resource utilization and outcome of patients with acute chest pain in the emergency department. A multicenter, prospective, observational study in north-eastern Italy. Ital Heart J 2003,4:318-24.
11. Kontos MC, Schmidt KL, McCue M, Rossiter LF, Jurgensen M, Nicholson CS, Jesse RL, Ornato JP, Tatum JL: A comprehensive strategy for the evaluation and triage of the chest pain patient: a cost comparison study. J Nucl Cardiol 2003, 10:284-90.
12. Tunstall-Pedoe H, Kuulasmaa K, Amouyel P, Arveiler D, Rajakangas AM, Pajak A: Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents. Circulation 1994, 90:583-612.
13. Lee TH, Ting HH, Shammash JB, Soukup JR, Goldman L: Long-term survival of emergency department patients with acute chest pain. Am J Cardiol 1992, 69:145-51.
14. Statistikgrupp S: Statistisk årsbok. Göteborg: Göteborgsbladet; 2004.
15. Lee TH, Rouan GW, Weisberg MC, Brand DA, Acampora D, Stasiulewicz C, Walshon J, Terranova G, Gottlieb L, Goldstein-Wayne B: Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol 1987, 60:219-224.
16. Pope JH, Aufderheide TP, Ruthazer R, Woolard RH, Feldman JA, Beshansky JR, Griffith JL, Selker HP: Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med 2000, 342: 1163-1170.
17. Polaczyk CA, Kuntz KM, Sacks DB, Johnson PA, Lee TH: Emergency department triage strategies for acute chest pain using creatine kinase-MB and troponin I assays: a cost-effectiveness analysis. Ann Intern Med 1999, 131:909-18.
18. Murphy NF, MacIntyre K, Capewell S, Stewart S, Pell J, Chalmers J, Redpath A, Frame S, Boyd J, McMurray JJ: Hospital discharge rates for suspected acute coronary syndromes between 1990 and 2000: population based analysis. BMJ 2004, 328:1413-4.
19. Ghosh P, Schistek R, Unger F: Coronary revascularization in DACH: 1991-2002. Thorac Cardiovasc Surg 2004, 52:356-64.
20. LS Wallentin U, Hagerman I, Hansen O, Held C, Karisson J, Mattson E, Moe T, Sterner M, Svennberg L, Werner P: RIKS-HIA årsrapport 2003 (Register of Information and Knowledge About Swedish Heart Intensive Care Admissions yearly report 2003). In RIKS-HIA årsrapport 2003 (Register of Information and Knowledge About Swedish Heart Intensive Care Admissions yearly report 2003) Akademiska sjukhuset; 2004.
21. Goodacre S, Morris F, Arnold J, Angelini K: Is a chest pain observation unit likely to be cost saving in a British hospital? Emerg Med J 2001, 18:11-4.
22. Montagne O, Chaix C, Harf A, Castaigne A, Durand-Zaleski I: Costs for acute myocardial infarction in a tertiary care centre and nationwide in France. Pharmacoeconomics 2000, 17:603-9.
23. Heerey A, McGowan B, Ryan M, Walsh M, Feely J, Barry M: Cost of treating acute myocardial infarction in an Irish teaching hospital. Ir Med J 2001, 94:144-6.
24. Hollander JE, Sites FD, Pollack CV Jr, Shofer FS: Lack of utility of telemetry monitoring for identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest pain. Ann Emerg Med 2004, 43:71-6.