The cost-effectiveness of the Kentucky pilot project of allowing primary PCI at hospitals without onsite CABG capabilities
نویسندگان
چکیده
THE COST-EFFECTIVENESS OF THE KENTUCKY PILOT PROJECT OF ALLOWING PRIMARY PCI AT HOSPITALS WITHOUT ONSITE CABG
منابع مشابه
Cost-effectiveness of Primary Pci at Hospitals without Onsite Cabg
A myocardial infarction (MI) occurs when blood supply to the heart is cut off by a blockage in one of the coronary arteries. Most hospitals treat a patient with thrombolysis or a percutaneous coronary intervention (PCI). The latter has been established as the preferred revascularization method. However, the American College of Cardiologists and the American Heart Association strongly recommend ...
متن کاملKentucky pilot project for primary PCI without onsite CABG.
PURPOSE The American College of Cardiology, the American Heart Association, and the Society for Cardiovascular Angiography and Interventions strongly recommend that primary Percutaneous Coronary Intervention (PCI) should be performed in facilities that have an experienced cardiovascular surgical team available as emergency backup for all procedures. The current study investigates the medical so...
متن کاملOutcomes of percutaneous coronary interventions performed at centers without and with onsite coronary artery bypass graft surgery.
CONTEXT An ongoing debate focuses on whether institutions should perform percutaneous coronary interventions (PCIs) without an onsite coronary artery bypass graft (CABG) surgery program. OBJECTIVE To compare patient outcomes following PCI at US institutions performing this procedure without and with onsite cardiac surgery. DESIGN, SETTING, AND PATIENTS Medicare hospital (part A) data were u...
متن کاملCoronary revascularization: then, now, future trends.
Then A small trial of 50 patients showed a composite safety event rate of 10% (0 mortality, 5 emergency coronary artery bypass grafts [CABGs], 0 strokes) and only a partial success rate (residual stenosis, 34%) with complete failure in 36% of patients. The authors predicted that the new percutaneous coronary intervention (PCI) technique might be suitable for 10% to 15% of patients needing coron...
متن کاملCost-effectiveness of percutaneous coronary intervention with drug-eluting stents in patients with multivessel coronary artery disease compared to coronary artery bypass surgery five-years after intervention
OBJECTIVES Cost-effectiveness of percutaneous coronary intervention (PCI) using drug-eluting stents (DES), and coronary artery bypass surgery (CABG) was analyzed in patients with multivessel coronary artery disease over a 5-year follow-up. BACKGROUND DES implantation reducing revascularization rate and associated costs might be attractive for health economics as compared to CABG. METHODS Co...
متن کامل