geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Cost of diagnostic and therapeutic hemodynamic procedures: comparison with DRG reimbursement


, : Cost of diagnostic and therapeutic hemodynamic procedures: comparison with DRG reimbursement. Italian Heart Journal. Supplement 2(6): 647-652

The cumulative costs of diagnostic and interventional procedures in the catheterization laboratory in public hospitals are still largely unknown, notwithstanding the present stress upon the cost-effectiveness issues in medicine. From January through April 2000 we have evaluated procedures in the catheterization laboratory of the Ravenna USL. Costs taken into consideration were the following: the mean cost of materials for each type of examination and of medications used for each patient, personnel costs, machinery mortgages' costs, ambulance transportation's costs, and general hospital expenditures. DRGs and reimbursements have been calculated on the basis of clinical indications and modalities of procedures. During the evaluation period 268 patients have been studied. The procedures taken into consideration included: 135 coronary angiographies, 36 right and left catheterizations plus coronary angiography, 87 coronary angiographies plus percutaneous coronary intervention (PCI), 10 PCI. The total cost of diagnostic catheterization was Itl 1,226,000 (Euro 632) whereas that of each PCI (including stent implantation in 80% of cases) associated in 87 cases with coronary angiography was Itl 5,956,000 (Euro 3044). Patients with an acute coronary syndrome or heart failure were mostly studied during their first hospital stay; those with stable disease (stable angina, previous myocardial infarction, valvular heart disease or cardiomyopathy without heart failure) were studied during ordinary hospital admission or in the context of a day-hospital. DRGs and corresponding reimbursements for the different clinical situations were the following: unstable angina DRG 124 valued at Itl 6,180,000; stable angina DRG 125 valued at Itl 3,900,000; acute or recent myocardial infarction with or without complications DRG 121 or 122 valued at ItI 8,290,000 or Itl 5,900,000; heart failure in valvular heart disease or cardiomyopathy DRG 124 valued at Itl 6,180,000; valvular heart disease or cardiomyopathy DRG 125 valued at Itl 3,900,000. The DRG for a PCI is no. 112 valued at Itl 10,235,000. The costs of diagnostic and interventional hemodynamic procedures were acceptable and proportional to the DRG-related reimbursements. Appropriately indicated procedures and their quick execution during the first hospital stay lead to global economic savings for the health care system and are also clinically advantageous for the individual patient.

US$29.90

PMID: 11460839


Other references

Petrik Ott A.J.; Ott F.D., 1980: Pilularia americana new record for tennessee usa. American Fern Journal 70(1): 29-30

Gill S.C.; Von Hippel P.H., 1989: Calculation of protein extinction coefficients from amino acid sequence data. Quantitative study of protein-protein and protein-ligand interactions in solution requires accurate determination of protein concentration. Often, for proteins available only in "molecular biological" amounts, it is difficult or impossib...

Zhang, M.; Han, L-Bo.; Wang, W-Yan.; Wu, S-Jie.; Jiao, G-Li.; Su, L.; Xia, G-Xian.; Wang, H-Yun., 2017: Overexpression of GhFIM2 propels cotton fiber development by enhancing actin bundle formation. Cell elongation and secondary wall deposition are two consecutive stages during cotton fiber development. The mechanisms controlling the progression of these two developmental phases remain largely unknown. Here, we report the functional character...

Bjorklund, M.G.; Siverina, I.; Riekkinen, M.; Sallinen, J.; Scheinin, M.; Riekkinen, P.Jr, 1999: Alpha2C-adrenoceptor knockout selectively blocks the action of alpha2-agonist dexmedetomidine on egocentric reference memory, and increases the beneficial effect on spatial working memory. Society for Neuroscience Abstracts 25(1-2): 61

Hueper, W.C., 1963: Chemically induced skin cancers in man. Chemically induced cancers of the human skin are historically of eminent importance in the development of human and experimental cancer research and also as they provided the first evidence on occupational carcinogenesis. They are, in many instanc...

Perry, T.B.; Patrick, J.E., 1973: Error in prenatal sex determination. Lancet 1(7799): 371-371

Isaac, L.A., 1960: Problems and proposals for international certification of tree seed origin and stand quality with particular reference to western North American species. The separate certification of coniferous seed from native wild stands, which provide the bulk of the seed harvested, and from artificially developed stands of genetically improved trees is proposed, the terms Standard and Genetically Improved, res...

Benoit, F.M.; Williams, D.T., 1981: Determination of hexachlorocyclopentadiene at the nanogram per liter level in drinking water. Bulletin of Environmental Contamination and Toxicology 27(3): 303-308

Hirabayashi, M.; Hara, H.; Goto, T.; Takizawa, A.; Dwinell, M.R.; Yamanaka, T.; Hochi, S.; Nakauchi, H., 2017: Haploid embryonic stem cell lines derived from androgenetic and parthenogenetic rat blastocysts. The present study was conducted to establish haploid embryonic stem (ES) cell lines using fluorescent marker-carrying rats. In the first series, 7 ES cell lines were established from 26 androgenetic haploid blastocysts. However, only 1 ES cell lin...

Sievers A., 1987: Cytological and physiological properties of electrically excitable cells in dionaea muscipula ellis. International Botanical Congress Abstracts: