Use of fractional flow reserve versus stress perfusion scintigraphy after unstable angina
Effect on duration of hospitalization, cost, procedural characteristics, and clinical outcome
Massoud A. Leesar, MD, FACC*,*,
Talal Abdul-Baki, MD*,
Nuri I. Akkus, MD*,
Anil Sharma, MD, FACC*,
Tarif Kannan, MD* and
Roberto Bolli, MD, FACC*
* Division of Cardiology, University of Louisville and Jewish Hospital Heart and Lung Institute, Louisville, Kentucky, USA
View larger version (29K):
[in a new window]
|
Figure 1 Costs incurred in the cath lab in patients who were randomized to stress perfusion scintigraphy (SPS) vs. fractional flow reserve (FFR). The itemized costs include: registered nurse (RN)/radiologic technologist (RT) cost, post-cath cost (the time that RN and RT spent per patient during and after cardiac catheterization multiplied by the hourly wages), contrast cost (the cost of contrast media used during the catheterization), and equipment cost (the costs of the WaveWire, guiding catheter, and Tuohy steering kit). Values are means ± SEM.
|
|
View larger version (17K):
[in a new window]
|
Figure 2 Costs incurred in the transitional care unit (TCU) in patients who were randomized to stress perfusion scintigraphy (SPS) vs. fractional flow reserve (FFR). The itemized costs include registered nurse (RN) cost in the TCU (the time that RN spent per patient multiplied by the hourly wages), diagnostic lab and SPS costs (the costs of laboratory tests and stress perfusion scintigraphy), and room cost (the cost of dwelling in the monitored bed). Values are means ± SEM.
|
|
View larger version (27K):
[in a new window]
|
Figure 3 Total cost incurred in the cath lab, total cost incurred in the transitional care unit (TCU) , and total cumulative cost from the time of cardiac catheterization to discharge in patients who were randomized to stress perfusion scintigraphy (SPS) vs. fractional flow reserve (FFR). Values are means ± SEM.
|
|
|
