ArticleBMC emergency medicine2006
Direct hospital costs of chest pain patients attending the emergency department: a retrospective study.
Article in BMC emergency medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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The trial behind it
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Who cites it
29 citing papers in PubMed.
- The Effect of Internet-Delivered Cognitive Behavioral Therapy Versus Psychoeducation Only on Psychological Distress in Patients With Noncardiac Chest Pain: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Trial
- Prospective validation of a 1-hour algorithm to rule-out and rule-in acute myocardial infarction using a high-sensitivity cardiac troponin T assay.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015Trial
- Interpolation methods for spatial distribution of groundwater mapping electrical conductivity.Scientific reports · 2024Article
- Diagnostic performance of a point-of-care high-sensitivity cardiac troponin I assay among Chinese patients with chest pain.Open heart · 2024Article
- RACE-IT - Rapid Acute Coronary Syndrome Exclusion using the Beckman Coulter Access high-sensitivity cardiac troponin I: A stepped-wedge cluster randomized trial.Contemporary clinical trials communications · 2021Article
- A comparative 30-day outcome analysis of inpatient evaluation vs outpatient testing in patients presenting with chest pain in the high-sensitivity troponin era. A propensity score matched case-control retrospective study.Clinical cardiology · 2020Article
- Development of a specific troponin I detection system with enhanced immune sensitivity using a single monoclonal antibody.Royal Society open science · 2020Article
- High level of circulating microRNA-142 is associated with acute myocardial infarction and reduced survival.Irish journal of medical science · 2020Article
- Chest pain in the ambulance; prevalence, causes and outcome - a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Observational
- Trial design for assessing analytical and clinical performance of high-sensitivity cardiac troponin I assays in the United States: The HIGH-US study.Contemporary clinical trials communications · 2019Article
- A retrospective external validation study of the HEART score among patients presenting to the emergency department with chest pain.Internal and emergency medicine · 2018Article
- Echocardiography in the Evaluation of Chest Pain in the Emergency Department.Polish journal of radiology · 2017Article
- Article
- Circulating extracellular vesicles containing miRNAs may have utility as early biomarkers for cardiac injury.Annals of translational medicine · 2016Article
- Article
- Optimal Cutoff Levels of More Sensitive Cardiac Troponin Assays for the Early Diagnosis of Myocardial Infarction in Patients With Renal Dysfunction.Circulation · 2015Article
- High-sensitive troponin T assay for the diagnosis of acute myocardial infarction: an economic evaluation.BMC cardiovascular disorders · 2014Article
- Impact of clinical predictors and routine coronary artery disease testing on outcome of patients admitted to chest pain decision unit.Clinical cardiology · 2014Article
- Societal costs of non-cardiac chest pain compared with ischemic heart disease--a longitudinal study.BMC health services research · 2013Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChest pain is one of the most common complaints in the Emergency Department (ED), but the cost of ED chest pain patients is unclear. The aim of this study was to describe the direct hospital costs for unselected chest pain patients attending the emergency department (ED).
methods1,000 consecutive ED visits of patients with chest pain were retrospectively included. Costs directly following the ED visit were retrieved from the hospital economy system.
resultsThe mean cost per patient visit was 26.8 thousand Swedish kronar (kSEK) (median 7.2 kSEK), with admission time accounting for 73% of all costs. Mean cost for patients discharged from the ED was 1.4 kSEK (median 1.3 kSEK), and for patients without ACS admitted 1 day or less 7.6 kSEK (median 6.9 kSEK). The practice in the present study to admit 67% of the patients, of whom only 31% proved to have ACS, was estimated to give a cost per additional life-year saved by hospital admission, compared to theoretical strategy of discharging all patients home, of about 350 kSEK (39 kEUR or 42 kUSD).
conclusionCosts for chest pain patients are large and primarily due to admission time. The present admission practice seems to be cost-effective, but the substantial overadmission indicates that better ED diagnostics and triage could decrease costs considerably.
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