Table 3.

Resource Use and Outcomes after Implementation of American College of Cardiology/American Heart Association Preoperative Risk Assessment Guidelines.

Resource Utilization I Controls n=102 II Post Guideline n=94 III Late Post Guideline n=104 P Value

I vs II I vs III
Stress test 90 (88%) 44 (47%) 43 (41%) <0.001 <0.001
Coronary Angiography 24 (24%) 10 (11%) 11 (11%) <0.05 0.01
PTCA or CABG 24 (24%) 2 (2%) 6 (6%) <0.001 <0.001
Length of stay (days) 20.7 13.2 <0.001
Preop cost $1087 $171 <0.001
Cost per case $21,947 $15,188 0.02
Outcomes:
Death 4 (4%) 3 (3%) 0 (0%) 0.77
MI 7 (7%) 3 (3%) 5 (5%) 0.24
Death or MI 11 (11%) 4 (4%) 5 (5%) 0.08

PTCA, percutaneous transluminal coronary angioplasty; CABG, coronary artery bypass grafting.

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2014 July; 5(3): e0017. ISSN: 2076-9172
Published online 2014 July 25. doi: 10.5041/RMMJ.10151