naa a22 4500 510740413 CHVBK 20180411083026.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s11845-012-0826-5 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0826-5 Cost burden of non-specific chest pain admissions [Elektronische Daten] [J. Groarke, J. O'Brien, G. Go, M. Susanto, P. Owens, A. Maree] Background: Non-cardiac aetiologies are common among patients presenting with chest pain. Aim: To determine the cost of non-specific chest pain admissions to a tertiary referral, teaching hospital. Methods: Thrombolysis in myocardial infarction risk (TIMI) risk score, lengths of stay (LOS), investigations and diagnoses were recorded for patients admitted with chest pain. Non-specific chest pain was defined as chest pain where cardiac, pulmonary and gastroesophageal aetiologies were excluded. Costs of admissions were calculated. Results: Of 80 patients, 34 (43%) and 22 (28%) were diagnosed with non-specific chest pain and acute coronary syndrome, respectively. Non-specific chest pain admissions had a mean age of 54 (11; 35-74) years, LOS of 3.8 (2.6; 1-11) days and TIMI risk score of 1.4 (1.5; 0-5). Acute coronary syndrome admissions had a mean age of 67 (14; 43-94) years, LOS of 7.7 (4.3; 2-16) days and TIMI risk score of 3.1 (1.2; 0-5). The mean cost per non-specific chest pain admission was €3,729 (2,378; 1,034-10,468), or 48% of the mean cost per acute coronary syndrome admission of €7,667 (4,279; 1,963-16,071). Bed day costs account for >90% of overall costs. Only 7% of patients were weekend discharges. The mean interval to exercise stress test was 2.7(1.5; 1-7) days. Conclusions: The mean costs of admission and LOS for patients with non-specific chest pain are significant. Extrapolating findings, annual national cost is estimated at approximately €71 million for this cohort, with 73,000 bed days consumed nationally. Delays from admission to tests and low percentage of weekend discharges prolong LOS Royal Academy of Medicine in Ireland, 2012 Non-specific chest pain admissions nationallicence Cost of non-specific chest pain admissions nationallicence Cost of acute coronary admissions nationallicence Cost-saving strategies for non-specific chest pain admissions nationallicence Groarke J. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut O'Brien J. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut Go G. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut Susanto M. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut Owens P. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut Maree A. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 57-61 0021-1265 182:1<57 2013 182 11845 https://doi.org/10.1007/s11845-012-0826-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0826-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Groarke J. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut NATIONALLICENCE 700 1- O'Brien J. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut NATIONALLICENCE 700 1- Go G. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut NATIONALLICENCE 700 1- Susanto M. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut NATIONALLICENCE 700 1- Owens P. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut NATIONALLICENCE 700 1- Maree A. Department of Cardiology, Waterford Regional Hospital, Waterford, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 57-61 0021-1265 182:1<57 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer