We sought to evaluate the initial economic cost of primary angioplasty for acute myocardial infarction under varying assumptions about whether a cardiac catheterization laboratory exists, whether services are provided during night and weekend hours and how cardiovascular surgical backup is arranged.
Primary angioplasty for acute myocardial infarction has resulted in clinical outcomes superior or equal to those obtained with thrombolysis in recent studies, but its future implementation depends greatly on its cost and cost-effectiveness.
There is a gap in knowledge about the true economic costs of this procedure, and understanding costs under a variety of hypothetic scenarios is important in planning whether and how the procedure should be offered to broad groups of patients.
A generalizable spreadsheet model was constructed to calculate the cost of primary angioplasty at a single hospital with assumptions based on data from a large nonprofit health maintenance organization (Kaiser Permanente).
The following baseline assumptions were made : 1) A total of 200 patients with myocardial infarction presented to the hospital each year ; 2) primary angioplasty was offered for 10 years ; 3) the hospital had a cardiac catheterization laboratory ; 4) costs of night call for technical personnel and cardiovascular surgical backup were already covered.
Other scenarios were modeled to represent different assumptions about existing resources.
Mots-clés Pascal : Infarctus, Myocarde, Aigu, Dilatation instrumentale, Coût, Economie santé, Etude longitudinale, Traitement, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie, Traitement instrumental
Mots-clés Pascal anglais : Infarct, Myocardium, Acute, Instrumental dilatation, Costs, Health economy, Follow up study, Treatment, Human, Cardiovascular disease, Coronary heart disease, Myocardial disease, Instrumentation therapy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0460738
Code Inist : 002B12A03. Création : 10/04/1997.