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Abstract: Slide Presentations |

USING THE EUROSCORE TO PREDICT INSTITUTION COSTS AND IDENTIFY PATIENTS AT HIGHER RISK FOR RESOURCE CONSUMPTION FOLLOWING OPEN HEART SURGERY FREE TO VIEW

Scott D. Barnett, PhD*; Alan M. Speir, MD; Niv Ad, MD
Author and Funding Information

Inova Heart and Vascular Institute, Falls Church, VA


Chest


Chest. 2007;132(4_MeetingAbstracts):440. doi:10.1378/chest.132.4_MeetingAbstracts.440
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Abstract

PURPOSE: The EuroSCORE has been an integral part of our pre-surgical workup among open heart surgery patients. This study sought to assess the relationship between categorized cost and EuroSCORE among patients undergoing cariac surgery.

METHODS: We retrospectively reviewed 1,560 consecutive adult cardiac surgery cases for clinical and financial data. Cases were categorized as valve surgery (A; n=432), CABG following cardiac catheterization and or catheter intevention during the same admission (B; n=693), and elective CABG (n=435). Person correlation coeficiants were calculated for each of the operative categories. The severity of EuroSCORE was stratified into mild, 0-2; moderate, 3-5, and severe, 6+.

RESULTS: The severity of EuroSCORE correlated well with direct (r=0.36), pharmacy (0.24) and blood bank costs (0.22); p<0.001. Stratified by operative category, the EuroSCORE also correlated well; group A (r2=0.37, 0.24, 0.33), group B (r2 =0.41, 0.28, 0.28) and group C (r2 =0.35, 0.26, 0.10) for mild, moderate, and severe EuroSCORE category, respectively. Increased EuroSCORE resulted in higher direct cost in all groups of patients. The largest increase in direct cost (233%) was documented for group B patients when EuroSCORE changed from mild to moderate.

CONCLUSION: We have documented that in our institution the additive EuroSCORE algorithm could be used to predict cost.

CLINICAL IMPLICATIONS: The EuroSCORE algorithm can be used to predict operative costs and identify patients with different levels of resource consumption.

DISCLOSURE: Scott Barnett, No Financial Disclosure Information; No Product/Research Disclosure Information

Monday, October 22, 2007

2:30 PM - 4:00 PM


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