Table 2 Assessment of low-risk patients with chest pain in the two settings
0/1-h algorithm at emergency primary care OUT-ACS cohort, Oslo (n = 1485) | All hs-cTn measurements at hospital ED Low-risk cohort, Drammen (n = 567) | Differences | |||
|---|---|---|---|---|---|
Conservative scenario | Base case scenario | Conservative scenario | Base case scenario | ||
EMS to emergency primary care (Costs per transport) | € 162 (€ 559; 29%) | € 162 (€ 559; 29%) | € 162 (€ 559; 29%) | € 162 (€ 559; 29%) | € 0 (assumed similar) |
Primary care emergency clinic General costs/ consultationa | € 166 | € 166 | € 166 | € 166 | € 0 (assumed similar) |
Additional costs with a 0/1-h algorithm | € 230 • Diagnostics € 41 • Personnel, tariffs € 137 • Cardiac outpatient testing € 52 | € 192 • Diagnostics € 41 • Personnel, wages € 99 • Cardiac outpatient testing € 52 | (none) | (none) | € 230 or 192 |
EMS to hospital (costs per transport) | (none) | (none) | € 419 (€ 559; 75%) | € 503 (€ 559; 90%) | € -419 or -503 |
Hospital (DRG tariffsa) | (none) | (none) | € 1483 | € 1483 | € -1483 |
TOTAL | € 558 | € 520 | € 2230 | € 2314 | € -1672 or -1794 |
LOS | Mean: 4.0 h | Mean: 3.4 h | Mean: 22.3 h | Mean: 22.3 h | -18.3 h or -18.9 h |
QALY | -0.00760 LOS: -0.00011 AMI: -0.00749 | -0.00009 LOS: -0.00009 AMI: -0.0 | -0.00574 LOS: -0.00059 AMI: -0.00515 | -0.00059 LOS: -0.00059 AMI: -0.0 | -0.00186 or + 0.00050 |