Coronary computed tomography and triple rule out CT in patients with acute chest pain and an intermediate cardiac risk for acute coronary syndrome: Part 2: Economic aspects

European Journal of Radiology

Volumn 82, Issue 1, 2013, Pages 106-111

  Henzler, Thomas ^a,c   Gruettner, Joachim ^a   Meyer, Mathias ^a,c   Rothhaar, Baerbel ^b   Apfaltrer, Paul ^a,c   Metzger, Franz ^b   Borggrefe, Martin ^b   Schoepf, U Joseph ^c   Schoenberg, Stefan O ^a   Fink, Christian ^a  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b UNIVERSITY OF HEIDELBERG   (Germany)

^c MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

Acute chest pain; Coronary CT angiography; Cost effectiveness

Indexed keywords

D DIMER; TROPONIN;

ACUTE CORONARY SYNDROME; ADULT; AGED; ALGORITHM; AORTA DISSECTION; ARTERY CATHETERIZATION; ARTICLE; CARDIOVASCULAR RISK; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; CORONARY ARTERY OBSTRUCTION; ELECTROCARDIOGRAPHY; EMERGENCY CARE; ESOPHAGITIS; EXERCISE TEST; FALSE ANEURYSM; FEMALE; FEMORAL ARTERY; FOLLOW UP; HEART LEFT VENTRICLE HYPERTROPHY; HOSPITAL COST; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; PATIENT SAFETY; PLEURA EFFUSION; PRIORITY JOURNAL; PROFIT; PROTEIN BLOOD LEVEL; RECURRENT DISEASE; REIMBURSEMENT; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; THORAX PAIN;

ACUTE CORONARY SYNDROME; ADULT; AGED; AGED, 80 AND OVER; COMORBIDITY; CORONARY ANGIOGRAPHY; CORONARY STENOSIS; DISEASE MANAGEMENT; FEMALE; GERMANY; HEALTH CARE COSTS; HUMANS; MALE; MIDDLE AGED; PATIENT DISCHARGE; PREVALENCE; RISK ASSESSMENT; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84871839956     PISSN: 0720048X     EISSN: 18727727     Source Type: Journal    
DOI: 10.1016/j.ejrad.2012.06.012     Document Type: Article

References (27)

1. E.A. Amsterdam, J.D. Kirk, and D.A. Bluemke Testing of low-risk patients presenting to the emergency department with chest pain: a scientific statement from the American Heart Association Circulation 122 2010 1756 1776
2. S.R. Pitts, R.W. Niska, and J. Xu National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary National Health Statistics Reports 6 7 2008 1 38
3. G.V. Heller, S.A. Stowers, and R.C. Hendel Clinical value of acute rest technetium-99m tetrofosmin tomographic myocardial perfusion imaging in patients with acute chest pain and nondiagnostic electrocardiograms Journal of the American College of Cardiology 31 5 1998 1011 1017
4. J.L. Tatum Cost effective nuclear scanning in a comprehensive and systematic approach to the evaluation of chest pain in the emergency department Maryland Medical Journal Suppl. 1997 25 29
5. J.L. Tatum, R.L. Jesse, and M.C. Kontos Comprehensive strategy for the evaluation and triage of the chest pain patient Annals of Emergency Medicine 29 1997 116 125
6. L. Goldman, E.F. Cook, and D.A. Brand A computer protocol to predict myocardial infarction in emergency department patients with chest pain New England Journal of Medicine 318 1988 797 803
7. J.R. Hedges, G.P. Young, and G.F. Henkel Serial ECGs are less accurate than serial CK-MB results for emergency department diagnosis of myocardial infarction Annals of Emergency Medicine 21 1992 1445 1450
8. T.H. Lee, and L. Goldman Evaluation of the patient with acute chest pain New England Journal of Medicine 342 2000 1187 1195
9. A. Limkakeng Jr., W.B. Gibler, and C. Pollack Combination of Goldman risk and initial cardiac troponin I for emergency department chest pain patient risk stratification Academic Emergency Medicine 8 2001 696 702
10. E. Braunwald, E.M. Antman, and J.W. Beasley ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction - summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee on the Management of Patients With Unstable Angina) Journal of the American College of Cardiology 40 2002 1366 1374
11. M.E. Farkouh, P.A. Smars, and G.S. Reeder A clinical trial of a chest-pain observation unit for patients with unstable angina. Chest pain evaluation in the emergency room (CHEER) investigators New England Journal of Medicine 339 1998 1882 1888
12. F.J. Klocke, M.G. Baird, and B.H. Lorell ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging - executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging) Journal of the American College of Cardiology 42 2003 1318 1333
13. R.J. Zalenski, R.J. Rydman, and S. Ting A national survey of emergency department chest pain centers in the United States American Journal of Cardiology 81 1998 1305 1309
14. J.A. Goldstein, K.M. Chinnaiyan, and A. Abidov The CT-STAT (coronary computed tomographic angiography for systematic triage of acute chest pain patients to treatment) trial Journal of the American College of Cardiology 58 2011 1414 1422
15. J. Gruettner, C. Fink, and T. Walter Coronary computed tomography and triple rule out CT in patients with acute chest pain and an intermediate cardiac risk profile. Part 1: impact on patient management European Journal of Radiology 2012 [Epub ahead of print]
16. E.M. Antman, M. Cohen, and P.J. Bernink The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making JAMA 284 2000 835 842
17. J.L. Anderson, C.D. Adams, and E.M. Antman ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 2002 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for academic emergency medicine Journal of the American College of Cardiology 50 2007 e1 e157
18. J.P. Bassand, C.W. Hamm, and D. Ardissino Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes European Heart Journal 28 2007 1598 1660
19. C.W. Hamm Guidelines: acute coronary syndrome (ACS). 1: ACS without persistent ST segment elevations Zeitschrift für Kardiologie 93 2004 72 90
20. M. Dalby, R. Kharbanda, and G. Ghimire Achieving routine sub 30 min door-to-balloon times in a high volume 24/7 primary angioplasty center with autonomous ambulance diagnosis and immediate catheter laboratory access American Heart Journal 158 2009 829 835
21. M.F. Dorsch, J.P. Greenwood, and C. Priestley Direct ambulance admission to the cardiac catheterization laboratory significantly reduces door-to-balloon times in primary percutaneous coronary intervention American Heart Journal 155 2008 1054 1058
22. A. Hvenegaard, A. Street, and T.H. Sorensen Comparing hospital costs: what is gained by accounting for more than a case-mix index? Social Science and Medicine 69 2009 640 647
23. J.A. Goldstein, M.J. Gallagher, and W.W. O'Neill A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain Journal of the American College of Cardiology 49 2007 863 871
24. U. Hoffmann, F. Bamberg, and C.U. Chae Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (rule out myocardial infarction using computer assisted tomography) trial Journal of the American College of Cardiology 53 2009 1642 1650
25. A.H. Miller, P.E. Pepe, and R. Peshock Is coronary computed tomography angiography a resource sparing strategy in the risk stratification and evaluation of acute chest pain? Results of a randomized controlled trial Academic Emergency Medicine 18 2011 458 467
26. J.A. Ladapo, U. Hoffmann, and F. Bamberg Cost-effectiveness of coronary MDCT in the triage of patients with acute chest pain AJR American Journal of Roentgenology 191 2008 455 463
27. J.A. Ladapo, F.A. Jaffer, and U. Hoffmann Clinical outcomes and cost-effectiveness of coronary computed tomography angiography in the evaluation of patients with chest pain Journal of the American College of Cardiology 54 2009 2409 2422