Cost Implication of an Early Invasive Strategy on Weekdays and Weekends in Patients with Acute Coronary Syndromes

Conclusion Early invasive strategy was cost-saving, even on weekends, for Canadian NTSE-ACS patients due to significant LOS savings. Given many high-risk NSTE-ACS patients receive delayed intervention due to weekend catheterization lab status, these findings support opening catheterization labs on weekends to facilitate the use of early invasive intervention. Teaser Early invasive intervention is similar to a delayed invasive approach for prevention of cardiovascular death, MI or stroke, but in higher risk patients, it is a superior strategy. This study evaluates the costs of these strategies in Canadian patients with NSTE-ACS both on weekdays and weekends. Early intervention significantly reduced costs [-$2938 (95% CI; -$5236 to -$640)], regardless of risk, and is a dominant strategy that would reduce costs in Canadian hospitals.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research