In-Hospital Healthcare Utilization, Outcomes, and Costs in Pre-Hospital-Adjudicated Low-Risk Chest-Pain Patients

Dominique N. van Dongen*, Jan Paul Ottervanger, Rudolf Tolsma, Marion Fokkert, Aize van der Sluis, Arnoud W. J. van 't Hof, Erik Badings, Robbert J. Slingerland

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Web of Science)

Abstract

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

Original languageEnglish
Pages (from-to)875-882
Number of pages8
JournalApplied Health Economics and Health Policy
Volume17
Issue number6
DOIs
Publication statusPublished - Dec 2019

Keywords

  • EMERGENCY-DEPARTMENT
  • ST-ELEVATION
  • HEART SCORE
  • INTERVENTIONS
  • MANAGEMENT

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