EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Empirical hospital and professional charges for patient care associated with out of hospital cardiac arrest before and after implementation of therapeutic hypothermia for comatose survivors



Empirical hospital and professional charges for patient care associated with out of hospital cardiac arrest before and after implementation of therapeutic hypothermia for comatose survivors



Resuscitation 83(10): 1265-1270



The objectives of this study are to characterize the total hospital and professional charges for patients with out of hospital cardiac arrest both with and without therapeutic hypothermia treatment. : Retrospective cohort study of all adult patients with non-traumatic out of hospital cardiac arrest brought to the ED of a single tertiary care hospital over 2 months preceding and 2 months following implementation of therapeutic hypothermia for comatose survivors. Billing and clinical data were obtained from administrative databases and the electronic medical record using explicit audited abstraction. Demographic, payer characteristics, median charges and reimbursements with interquartile ranges are described before and after implementation, stratified by patient outcome. : Two hundred and twenty-three patients met study criteria. The median charge was $3,112 among the 135 patients (6.5%) that did not survive to admission and $94,916 among the 88 (39.5%) that did. Median charges before and after implementation of therapeutic hypothermia were $6,324 and $15,537 respectively. Medicare was the most frequent payer. Good neurological outcome occurred in 11/115 patients (9.6%) prior to implementation and 22/18 patients (2.4%) after. Among 23 patients treated with hypothermia, good neurological outcome occurred in 11 patients (47.8%). Good neurological outcome and treatment with hypothermia were associated with increased procedure utilization and higher charges. : Empirical patient level data confirm that charges for patients with out of hospital cardiac arrest are substantial, even among patients that do not survive to hospital admission. Treatment with therapeutic hypothermia is associated with better outcomes, more procedures, and higher charges.

(PDF emailed within 0-6 h: $19.90)

Accession: 036358612

Download citation: RISBibTeXText

PMID: 22410427

DOI: 10.1016/j.resuscitation.2012.03.001



Related references

Rapid implementation of therapeutic hypothermia in comatose out-of-hospital cardiac arrest survivors. Acta Anaesthesiologica Scandinavica 50(10): 1277-1283, 2006

ACS network-based implementation of therapeutic hypothermia for the treatment of comatose out-of-hospital cardiac arrest survivors improves clinical outcomes: the first European experience. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 21: 22-22, 2014

Implementation of a post-cardiac arrest care bundle including therapeutic hypothermia and hemodynamic optimization in comatose patients with return of spontaneous circulation after out-of-hospital cardiac arrest: a feasibility study. Shock 35(4): 360-366, 2011

The progress of therapeutic hypothermia for patients with comatose survivors of out-of-hospital cardiac arrest this century. Nihon Rinsho. Japanese Journal of Clinical Medicine 66(11): 2205-2214, 2008

Bradycardia during therapeutic hypothermia is associated with good neurologic outcome in comatose survivors of out-of-hospital cardiac arrest. Critical Care Medicine 42(11): 2401-2408, 2014

Combining therapeutic hypothermia and emergent coronary angiography in out-of-hospital cardiac arrest survivors: Optimal post-arrest care for the best patient. European Heart Journal. Acute Cardiovascular Care 4(6): 579-588, 2016

Early goal-directed hemodynamic optimization combined with therapeutic hypothermia in comatose survivors of out-of-hospital cardiac arrest. Resuscitation 80(4): 418-424, 2009

Therapeutic hypothermia with immunosuppressive drugs for a comatose renal transplant patient who survived out-of-hospital cardiac arrest. Journal of Cardiology Cases 1(3): E147-E150, 2018

Primary percutaneous coronary intervention and therapeutic hypothermia in comatose survivors after out-of-hospital cardiac arrest complicating acute myocardial infarction: a single-center experience. Giornale Italiano di Cardiologia 15(5): 323-329, 2014

Treatment of Comatose Survivors of Out-of-Hospital Cardiac Arrest With Induced Hypothermia. Survey of Anesthesiology 47(4): 220-221, 2003

Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. New England Journal of Medicine 346(8): 557-563, 2002

Immediate prehospital hypothermia protocol in comatose survivors of out-of-hospital cardiac arrest. American Journal of Emergency Medicine 27(5): 570-573, 2009

Clinical trial of induced hypothermia in comatose survivors of out-of-hospital cardiac arrest. Annals Of Emergency Medicine. 30(2): 146-153, 1997

Resuscitative value of B-type natriuretic peptide in comatose survivors treated with hypothermia after out-of-hospital cardiac arrest due to cardiac causes. Circulation Journal 71(3): 370-376, 2007

Therapeutic hypothermia in comatose patients after out-of-hospital cardiac arrest. Anaesthesia 63(1): 15-19, 2007