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  Proactive Acute
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CHEST PAIN CENTERS:
MOVING TOWARD PROACTIVE ACUTE CORONARY CARE


ECONOMIC OUTCOMES (TABLE)
Table 2
Cost of heart attack care in low-probability ischemic patients (track, level, clinical pathway, etc.)
1992 1992 1994 1994 1995 1995 1996 1997
Author (Ref.)

Gibler
[41]

Amsterdam
[42]
Rodriguez Barrish
[43]
Graff
[34]
Myerberg
[44]
Stewart
[45]
Gomez
[46]
Nicholson Ornato
[47]
Hospital area
CCU
Ohio California Maryland Connecticut
$5374
Florida
$6358
Michigan Utah Virginia
Telemetry unit/
hospital unit
(unmonitored)
$3500   $2800       $2063  
Acute outpatient
(observation in CPED)
$1200   $1246 $1428 $1683   $893  
Bottom line
reduction in cost
$2300 $2000 less as
outpatient
$1586 $3946 $4675 $1771 $1170 <15% of
admitted patients





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