Cost-minimisation analysis alongside a pilot study of early Tissue Doppler Evaluation of Diastolic Dysfunction in Emergency Department Non-ST Elevation Acute Coronary Syndromes (TEDDy-NSTEACS).
Vijay Singh GcMohamad AlshurafaDavid J SturgessJoseph TingKye GregoryAna Sofia Oliveira GonçalvesJennifer A WhittyPublished in: BMJ open (2019)
This pilot study indicates that compared with conventional risk stratification, triaging patients presenting with suspected NSTEACS with TDI within 4 hours of ED presentation has potential cost savings. Findings assume a reduction in hospital stay is achieved for patients considered to be high risk at TDI. Larger, comparative studies with longer follow-up are needed to confirm the clinical effectiveness of TDI as a diagnostic strategy for NSTEACS, the assumed reduction in hospital stay and any cost saving.
Keyphrases
- emergency department
- ejection fraction
- end stage renal disease
- acute coronary syndrome
- healthcare
- newly diagnosed
- adverse drug
- chronic kidney disease
- randomized controlled trial
- blood pressure
- peritoneal dialysis
- systematic review
- left ventricular
- prognostic factors
- pulmonary embolism
- oxidative stress
- patient reported outcomes
- heart failure
- percutaneous coronary intervention
- patient reported