What does this research mean for the field?

Portable echocardiography alone is the most cost-effective strategy for assessing patients with suspected heart failure in the community, compared to sequential testing with ECG or NTproBNP. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

February 20, 2007EchocardiographyOpen Access

Cost Effectiveness of the B Type Natriuretic Peptide, Electrocardiography, and Portable Echocardiography for the Assessment of Patients from the Community with Suspected Heart Failure

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Why the study?

Is portable echocardiography alone more cost-effective than ECG or NT-proBNP followed by echocardiography for detecting cardiac abnormalities in patients with suspected heart failure?

Structured PICO

Is portable echocardiography alone more cost-effective than ECG or NT-proBNP followed by echocardiography for detecting cardiac abnormalities in patients with suspected heart failure?

Population

137 patients from the community with suspected heart failure, mean age 71+/-13 years

Intervention

Portable echocardiography alone

Comparator

NT-proBNP followed by portable echocardiography, or ECG followed by portable echocardiography

Outcome

Cost per case detected of cardiac abnormalities (valvular heart disease, right ventricular dysfunction, and left ventricular systolic and diastolic dysfunction)

Portable echocardiography alone is a more cost-effective initial strategy than ECG or NT-proBNP for detecting cardiac abnormalities in community patients with suspected heart failure.

Discussion

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Implication

Supports portable echocardiography as potentially cost-effective initial test in suspected HF; leaves open prospective validation before practice change.

Cite This Study

Lim et al. (2007) studied this question.

synapsesocial.com/papers/6a1a2feca4707f6135b5058b https://doi.org/10.1111/j.1540-8175.2007.00398.x

Topics

Heart failure HFrEF treatment Echocardiography HFpEF management

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Implication

Supports portable echocardiography as potentially cost-effective initial test in suspected HF; leaves open prospective validation before practice change.

Cost Effectiveness of the B Type Natriuretic Peptide, Electrocardiography, and Portable Echocardiography for the Assessment of Patients from the Community with Suspected Heart Failure

Structured PICO

Discussion

Implication

Cite This Study

Topics

Cost Effectiveness of the B Type Natriuretic Peptide, Electrocardiography, and Portable Echocardiography for the Assessment of Patients from the Community with Suspected Heart Failure

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider