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July 1, 2015Revista Brasileira de Cardiologia Invasiva (English Edition)Open Access

Is there an association between hospital costs and door-to-balloon time?

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Why the study?

Does door-to-balloon time < 90 minutes reduce hospital costs in patients treated with primary percutaneous coronary intervention?

Population

141 patients treated with primary percutaneous coronary intervention between 2008 and 2013

Comparison

Door-to-balloon time (DBT) < 90 minutes vs Door-to-balloon time (DBT) ≥ 90 minutes

Design

Cohort

Follow-up

hospital discharge

Key result

Door-to-balloon time < 90 minutes compared to ≥ 90 minutes in patients undergoing primary PCI showed no significant difference in hospital costs (R$ 33,194.24 vs R$ 36,947.58; p=0.43).

Authors

MMMarcus Vinicius de Freitas MoreiraLRLuciana Alves RibeiroEAEdson Elviro Alves

Discussion

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Overview

Door-to-balloon time <90 min was not associated with lower costs; leaves open whether time targets affect resource use in observational primary PCI data.

Study Design

Type

Cohort (n=141)

Structured PICO

Does door-to-balloon time < 90 minutes reduce hospital costs in patients treated with primary percutaneous coronary intervention?

P
Population
141 patients treated with primary percutaneous coronary intervention between 2008 and 2013
I
Intervention
Door-to-balloon time (DBT) < 90 minutes
C
Comparator
Door-to-balloon time (DBT) ≥ 90 minutes
O
Outcome
Hospital costs recorded at hospital discharge adjusted by the Medical-Hospital Cost Variation Index

Main Result

Absolute Event Rate: 33194.24% vs 36947.58%

p-value: p=0.43

Achieving a door-to-balloon time of < 90 minutes during primary PCI was not associated with a significant difference in hospital costs compared to longer times.

Cite This Study

Moreira et al. (2015) conducted a cohort in Primary percutaneous coronary intervention (n=141). Door-to-balloon time < 90 minutes vs. Door-to-balloon time ≥ 90 minutes was evaluated on Hospital costs (p=0.43). Door-to-balloon time < 90 minutes compared to ≥ 90 minutes in patients undergoing primary PCI showed no significant difference in hospital costs (R$ 33,194.24 vs R$ 36,947.58; p=0.43).

synapsesocial.com/papers/6a12c4c0c031bb6829a7444ehttps://doi.org/10.1016/j.rbciev.2015.08.005
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