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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1990-12-27
|
| pubmed:abstractText |
The feasibility of outpatient electrophysiologic testing was examined by reviewing 100 consecutive outpatient tests performed in 95 patients. Seventy-one of the patients (75%) had no underlying heart disease. The electrophysiologic tests were performed to evaluate supraventricular tachycardias (n = 47), nonsustained ventricular tachycardia (n = 20), unexplained syncope (n = 21), palpitation (n = 9) or intermittent heart block (n = 2). A mean of 2.8 +/- 0.5 6F electrode catheters were inserted through a femoral vein. An electrode catheter was inserted into a subclavian or internal jugular vein in 28 tests and a 5F cannula was inserted into a femoral artery to monitor the blood pressure in 20 tests. The results of 61 tests (61%) were abnormal. Patients were monitored for a mean of 3.8 +/- 1.2 h after the procedure and then discharged. No complications occurred. For cost analysis a subgroup of 60 of these patients was matched for age, gender, heart disease and indication for electrophysiologic testing with a group of 60 patients who underwent electrophysiologic testing as inpatients. Physicians' fees for the two groups were similar; however, the mean hospital charge was $5,845 +/- 3,763 for the inpatient group compared with only $2,120 +/- 1,244 for the outpatient group (p less than 0.001). Thus, outpatient electrophysiologic testing is feasible and safe and results in substantial cost savings in patients without life-threatening arrhythmias.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0735-1097
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
16
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1415-9
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:2229794-Adult,
pubmed-meshheading:2229794-Ambulatory Care,
pubmed-meshheading:2229794-Arrhythmias, Cardiac,
pubmed-meshheading:2229794-Catheterization, Peripheral,
pubmed-meshheading:2229794-Cohort Studies,
pubmed-meshheading:2229794-Costs and Cost Analysis,
pubmed-meshheading:2229794-Electrophysiology,
pubmed-meshheading:2229794-Feasibility Studies,
pubmed-meshheading:2229794-Female,
pubmed-meshheading:2229794-Humans,
pubmed-meshheading:2229794-Male,
pubmed-meshheading:2229794-Middle Aged,
pubmed-meshheading:2229794-Monitoring, Physiologic,
pubmed-meshheading:2229794-Retrospective Studies
|
| pubmed:year |
1990
|
| pubmed:articleTitle |
Feasibility and cost savings of outpatient electrophysiologic testing.
|
| pubmed:affiliation |
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor.
|
| pubmed:publicationType |
Journal Article
|