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Same day discharge (SDD) following elective percutaneous coronary intervention (PCI) is increasingly utilized and recognized as a safe strategy. The economic impact comparing transradial (TR) and transfemoral (TF) PCI in this population subset has not been studied. Our objective was to assess differences in cost and charge between TR and TF patients undergoing elective PCI and discharged on the same day.
Data for all patients who were discharged on the same day following low-risk elective PCI from December 2008 to June 2012 utilizing our institutional SDD guidelines were prospectively studied. Total, direct and indirect costs and charges (U.S. dollars) were compared for TR and TF PCI using a two-tailed t-test.
Of the total 401 SDD patients, 300 underwent TF and the remaining TR PCI. Total cost per TF PCI was $7,787 ± $2,567 (mean ± SD) versus $6,740 ± $2,196 for TR PCI patients. Charges associated with TF and TR PCI were $27,835 ± $5,885 and $25,846 ± $6,625, respectively. The mean decrease in costs and charges of $1,047 (95 % C.I: $486 – $1,608, p < 0.001) and $1,990 (95 % C.I: $615 – $3,365, p = 0.005) for TR PCI were primarily attributed to costs and charges associated with medications and hemostasis. Additional cost data is summarized in the Table 1.Table 1
TR PCI results in significant reduction in costs and charges. The impact of such savings could provide critical momentum in the shift from TF to TR approach.
West, Room 3006
Sunday, March 10, 2013, 9:15 a.m.-9:30 a.m.
Session Title: Advancing the Cutting Edge of Cardiovascular Care: Recent Accomplishments and Future Goals
Abstract Category: 28. Quality of Care and Outcomes Assessment
Presentation Number: 920-8
- 2013 American College of Cardiology Foundation