PMID: 11310454Apr 20, 2001Paper

Is a chest pain observation unit likely to be cost saving in a British hospital?

Emergency Medicine Journal : EMJ
S W GoodacreK Angelini

Abstract

Studies from the United States (US) suggest that using a chest pain observation unit (CPOU) saves from $567 to $2,030 per case compared with hospital admission. These savings will only be reproduced in the United Kingdom (UK) if the cost of routine hospital admission is similar. This study aimed to review current practice to determine the proportion of patients suitable for CPOU evaluation, the cost per case of routine admission and compare this with control groups in US studies. 300 patients were randomly selected from those admitted with chest pain between January and June 1998. Two independent observers reviewed the case notes to determine who would have been suitable for CPOU management. Resource use of those selected was then determined. Notes were retrieved for 285 patients. A total of 106 (37.2%) were suitable for CPOU care. Mean length of stay was 51 hours (median 24). Only two patients were admitted to the coronary care unit. Interventional cardiology was limited to two angiograms, one angioplasty and one bypass graft. Estimated mean cost per patient was 458 pounds ($733) with interventional cardiology included, 356 pounds ($570) without. Potential exists for the introduction of CPOU care to reduce health service costs...Continue Reading

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Citations

Jul 20, 2002·BMJ : British Medical Journal·Mike Clancy
Sep 5, 2003·Emergency Medicine Journal : EMJ·S Goodacre, N Calvert
Mar 21, 2002·Emergency Medicine Journal : EMJ·S W GoodacreK Angelini
Mar 30, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·André Luis Ferreira Azeredo-Da-SilvaCarisi Anne Polaczyk
Jun 15, 2011·Emergency Medicine Australasia : EMA·UNKNOWN Australian Resuscitation Council, UNKNOWN New Zealand Resuscitation Council
Jul 12, 2005·International Journal of Cardiology·Gigliola BedettiEugenio Picano
Dec 2, 2015·Annals of Emergency Medicine·Saul BleckerStuart D Katz
Apr 13, 2010·The Medical Clinics of North America·Kamila S White
Jan 9, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·C Geraldine McMahonSally Hollis
Mar 15, 2008·Critical Pathways in Cardiology·Steve Goodacre

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