Source:http://linkedlifedata.com/resource/pubmed/id/11241016
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2001-3-12
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pubmed:abstractText |
An alternative clinical management strategy and cost analysis model is presented for patients with atrial fibrillation of >2 days' duration who may benefit from immediate cardioversion with self-administered low-molecular-weight heparin (enoxaparin) as a bridge antithrombotic therapy to warfarin, after a negative transesophageal echo-cardiography (TEE) screening for thrombus. Assuming no difference in stroke or bleeding rates, our cost minimization model shows that the TEE-guided enoxaparin treatment costs are $1353 lower per patient than an intravenous unfractionated heparin approach. Sensitivity analyses for stroke and bleeding reveal that the treatment-cost economic dominance of the TEE-guided enoxaparin approach may be enhanced by an expected improvement in clinical outcome.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0894-7317
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
200-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11241016-Anticoagulants,
pubmed-meshheading:11241016-Atrial Fibrillation,
pubmed-meshheading:11241016-Cost-Benefit Analysis,
pubmed-meshheading:11241016-Echocardiography, Transesophageal,
pubmed-meshheading:11241016-Electric Countershock,
pubmed-meshheading:11241016-Enoxaparin,
pubmed-meshheading:11241016-Humans,
pubmed-meshheading:11241016-Thrombolytic Therapy,
pubmed-meshheading:11241016-Treatment Outcome
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pubmed:year |
2001
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pubmed:articleTitle |
Potential clinical efficacy and cost benefit of a transesophageal echocardiography-guided low-molecular-weight heparin (enoxaparin) approach to antithrombotic therapy in patients undergoing immediate cardioversion from atrial fibrillation.
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pubmed:affiliation |
Department of Cardiology, Cardiovascular Imaging Center; the Department of Vascular Medicine, Clinical Thrombosis Section; and Biostatistics and Epidemiology; The Cleveland Clinic Foundation.
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pubmed:publicationType |
Journal Article
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