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