TY - JOUR
T1 - In-Hospital Healthcare Utilization, Outcomes, and Costs in Pre-Hospital-Adjudicated Low-Risk Chest-Pain Patients
AU - van Dongen, Dominique N.
AU - Ottervanger, Jan Paul
AU - Tolsma, Rudolf
AU - Fokkert, Marion
AU - van der Sluis, Aize
AU - van 't Hof, Arnoud W. J.
AU - Badings, Erik
AU - Slingerland, Robbert J.
N1 - Funding Information:
This work was supported by Isala Research Fund [Grant number INNO1326]. Roche diagnostics provided POC devices and POC strips. Researchers were independent of funders and funders were not involved in writing this research or performing analyses.
Publisher Copyright:
© 2019, Springer Nature Switzerland AG.
PY - 2019/12
Y1 - 2019/12
N2 - Background There is increasing evidence that in patients presenting with acute chest pain, pre-hospital triage can accurately identify low-risk patients. It is, however, still unclear which diagnostics are performed in pre-hospital-adjudicated low-risk patients and what the contribution is of those diagnostic results in the healthcare process. Objectives The aim of this study was to quantify healthcare utilization, costs, and outcomes in pre-hospital-adjudicated low-risk chest-pain patients, and to extrapolate to total costs in the Netherlands. Methods This was a prospective cohort study including 700 patients with suspected non-ST-elevation acute coronary syndrome in which pre-hospital risk stratification using the HEART score was performed by paramedics. Low risk was defined as a pre-hospital HEART score
AB - Background There is increasing evidence that in patients presenting with acute chest pain, pre-hospital triage can accurately identify low-risk patients. It is, however, still unclear which diagnostics are performed in pre-hospital-adjudicated low-risk patients and what the contribution is of those diagnostic results in the healthcare process. Objectives The aim of this study was to quantify healthcare utilization, costs, and outcomes in pre-hospital-adjudicated low-risk chest-pain patients, and to extrapolate to total costs in the Netherlands. Methods This was a prospective cohort study including 700 patients with suspected non-ST-elevation acute coronary syndrome in which pre-hospital risk stratification using the HEART score was performed by paramedics. Low risk was defined as a pre-hospital HEART score
KW - EMERGENCY-DEPARTMENT
KW - ST-ELEVATION
KW - HEART SCORE
KW - INTERVENTIONS
KW - MANAGEMENT
U2 - 10.1007/s40258-019-00502-6
DO - 10.1007/s40258-019-00502-6
M3 - Article
C2 - 31388939
SN - 1175-5652
VL - 17
SP - 875
EP - 882
JO - Applied Health Economics and Health Policy
JF - Applied Health Economics and Health Policy
IS - 6
ER -