The publication detail shows the title, authors (with indicators showing other profiled authors), information on the publishing organization, abstract and a link to the article in PubMed. This abstract is what is used to create the fingerprint of the publication. If any grants are referenced by the publication, they will be listed here as well.
Cost and procedure implications of thrombolytic therapy for acute myocardial infarction.
Center for Hospital Finance and Management, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Journal of the American College of Cardiology 1988;12(6 Suppl A):58A-68A.
A computer model was developed to analyze the costs to Medicare and the potential procedure volume associated with alternative strategies for treatment of acute myocardial infarction. The expected cost per case to Medicare for initial hospitalization was approximately $7,200 for conventional treatment, $7,900 for treatment with intravenous streptokinase and $8,400 for treatment with recombinant tissue-type plasminogen activator (rt-PA). The expected cost per case for use of streptokinase or rt-PA in combination with cardiac catheterization performed either emergently or at 48 h was in excess of $11,000. These cost estimates do not reflect the cost of thrombolytic drugs themselves because Medicare has not adjusted its hospital payment rates to take account of such costs. Although both streptokinase and rt-PA will increase costs to Medicare for hospitalizations for acute myocardial infarction, both agents will do so at a reasonably low cost per additional life saved--between $50,000 and $60,000. Emergency and 48 h catheterization strategies are considerably less cost-effective. Regarding procedures, this model suggests that for every 1,000 patients treatment with streptokinase will result in an additional 76 coronary angioplasty procedures and 26 coronary artery bypass operations, whereas treatment with rt-PA will result in an additional 122 angioplasty procedures and 43 bypass operations compared with conventional treatment. Thrombolytic treatment is thus likely to increase substantially the volume of cardiac catheterization, coronary angioplasty and coronary artery bypass surgery performed in the United States.
This section shows information related to the publication - computed using the fingerprint of the publication - including related publications, related experts and related grants with fingerprints representing significant amounts of overlap between their fingerprint and this publication. The red dots indicate whether those experts or terms appear within the publication, thereby showing potential and actual connections.
K P Callahan; A I Malinin; P A Gurbel; J H Alexander; C B Granger; V L SerebruanyCardiology 2001;95(2):55-60.
David R ThiemannJournal of the American College of Cardiology 2002;39(11):1729-32.
J M Miller; R Smalling; E M Ohman; C Bode; A Betriu; N S Kleiman; J S Schildcrout; E Bastos; E J Topol; R M Califf
Effectiveness of early coronary angioplasty and abciximab for failed thrombolysis (reteplase or alteplase) during acute myocardial infarction (results from the GUSTO-III trial). Global Use of Strategies To Open occluded coronary arteries.The American journal of cardiology 1999;84(7):779-84.
Appears in this Publication
Author of this Publication