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Direct hospital costs of chest pain patients attending the emergency department: a retrospective study

Forberg, Jakob L LU ; Henriksen, Louise S ; Edenbrandt, Lars LU and Ekelund, Ulf LU orcid (2006) In BMC Emergency Medicine 6.
Abstract
BACKGROUND: Chest pain is one of the most common complaints in the Emergency Department (ED), but the cost of ED chest pain patients is unclear. The aim of this study was to describe the direct hospital costs for unselected chest pain patients attending the emergency department (ED). METHODS: 1,000 consecutive ED visits of patients with chest pain were retrospectively included. Costs directly following the ED visit were retrieved from the hospital economy system. RESULTS: The mean cost per patient visit was 26.8 thousand Swedish kronar (kSEK) (median 7.2 kSEK), with admission time accounting for 73% of all costs. Mean cost for patients discharged from the ED was 1.4 kSEK (median 1.3 kSEK), and for patients without ACS admitted 1 day or... (More)
BACKGROUND: Chest pain is one of the most common complaints in the Emergency Department (ED), but the cost of ED chest pain patients is unclear. The aim of this study was to describe the direct hospital costs for unselected chest pain patients attending the emergency department (ED). METHODS: 1,000 consecutive ED visits of patients with chest pain were retrospectively included. Costs directly following the ED visit were retrieved from the hospital economy system. RESULTS: The mean cost per patient visit was 26.8 thousand Swedish kronar (kSEK) (median 7.2 kSEK), with admission time accounting for 73% of all costs. Mean cost for patients discharged from the ED was 1.4 kSEK (median 1.3 kSEK), and for patients without ACS admitted 1 day or less 7.6 kSEK (median 6.9 kSEK). The practice in the present study to admit 67% of the patients, of whom only 31% proved to have ACS, was estimated to give a cost per additional life-year saved by hospital admission, compared to theoretical strategy of discharging all patients home, of about 350 kSEK (39 kEUR or 42 kUSD). CONCLUSION: Costs for chest pain patients are large and primarily due to admission time. The present admission practice seems to be cost-effective, but the substantial overadmission indicates that better ED diagnostics and triage could decrease costs considerably. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Emergency Medicine
volume
6
article number
6
pages
7 pages
publisher
BioMed Central (BMC)
external identifiers
  • pmid:16674827
  • scopus:33745765209
  • pmid:16674827
ISSN
1471-227X
DOI
10.1186/1471-227X-6-6
language
English
LU publication?
yes
id
8ae686f6-9e7a-42da-a2ca-6bc2c58eea43 (old id 1135858)
date added to LUP
2016-04-01 16:17:11
date last changed
2021-09-22 04:23:45
@article{8ae686f6-9e7a-42da-a2ca-6bc2c58eea43,
  abstract     = {BACKGROUND: Chest pain is one of the most common complaints in the Emergency Department (ED), but the cost of ED chest pain patients is unclear. The aim of this study was to describe the direct hospital costs for unselected chest pain patients attending the emergency department (ED). METHODS: 1,000 consecutive ED visits of patients with chest pain were retrospectively included. Costs directly following the ED visit were retrieved from the hospital economy system. RESULTS: The mean cost per patient visit was 26.8 thousand Swedish kronar (kSEK) (median 7.2 kSEK), with admission time accounting for 73% of all costs. Mean cost for patients discharged from the ED was 1.4 kSEK (median 1.3 kSEK), and for patients without ACS admitted 1 day or less 7.6 kSEK (median 6.9 kSEK). The practice in the present study to admit 67% of the patients, of whom only 31% proved to have ACS, was estimated to give a cost per additional life-year saved by hospital admission, compared to theoretical strategy of discharging all patients home, of about 350 kSEK (39 kEUR or 42 kUSD). CONCLUSION: Costs for chest pain patients are large and primarily due to admission time. The present admission practice seems to be cost-effective, but the substantial overadmission indicates that better ED diagnostics and triage could decrease costs considerably.},
  author       = {Forberg, Jakob L and Henriksen, Louise S and Edenbrandt, Lars and Ekelund, Ulf},
  issn         = {1471-227X},
  language     = {eng},
  publisher    = {BioMed Central (BMC)},
  series       = {BMC Emergency Medicine},
  title        = {Direct hospital costs of chest pain patients attending the emergency department: a retrospective study},
  url          = {http://dx.doi.org/10.1186/1471-227X-6-6},
  doi          = {10.1186/1471-227X-6-6},
  volume       = {6},
  year         = {2006},
}