SlideShare une entreprise Scribd logo
1  sur  17
Télécharger pour lire hors ligne
Impact of anti-thrombin therapy on hospital cost and length of stay in adult patients undergoing angioplastyRetrospective analysis of the Premier Perspective Database,[object Object],Neeraj R. Bajaj 1, Weihong Fan 2, Howard A. Cohen 1 , Kirk N. Garratt 1,[object Object],1. Lenox Hill Hospital,[object Object],2. The Medicines Company,[object Object]
Disclaimer,[object Object],[object Object]
Weihong Fan receives salary support from The Medicines Company.
Howard A. Cohen has no conflicts to disclose.
Kirk N. Garratt receives consulting service fees and speaker’s bureau honoraria from the Medicines Company.,[object Object]
 The economic impact of BIV or unfractionated heparin/enoxaparin (HEP) use during PCI, with or without glycoprotein IIb/IIIa  inhibitor (GPI), in unselected patients, is less certain.
The purpose of this study is to evaluate the impact of anti-thrombin choice on length of hospital stay after PCI (LOS) and cost in a large unselected population.,[object Object]
 The database contains standard data elements available in hospital discharge files.   Diagnoses and procedures are categorized according to the International Classification of Diseases, Ninth Revision (ICD-9), and Current Procedural Terminology (CPT) codes.
 Data routinely undergo quality and completeness checks (data verification, reconciliation, and validation) as well as checks on clinical resource consumptions, manual data audit, and a warehouse audit. 5
 Data for this analysis were extracted from Q1/2004 to Q1/2008.   After exclusion criteria were applied, 452,044 PCI admissions were reviewed representing 299 teaching, non-teaching, urban and rural hospitals of varying size.,[object Object]
Methods,[object Object],[object Object]
 Treatment decisions were based on physician preference and individual hospital standards of care and policy. Multivariate analysis (MVA) was used to adjust for confounding patient and hospital covariates and bleeding complications.
Linear regression models of LOS, actual cost of hospitalization, and natural log transform of cost were developed.  Covariates included: patient demographics, admission year, diagnosis (STEMI, non-STEMI, unstable angina, stable angina, chronic ischemic heart disease(CIHD)), insurance payor, hospital characteristics (region, rural/urban, teaching status, and bed size), patient co-morbidities, concomitant medication use, procedural information, and bleeding complications.
Sensitivity analyses were conducted to assess the robustness of MVA results by including or excluding bleeding patients.,[object Object]
Results,[object Object],Note: All comparisons are 4-way.  All P-values are <0.0001,[object Object]
Results,[object Object],Note: All comparisons are 4-way.  All P-values are <0.0001,[object Object]
Results ,[object Object],Note: All comparisons are 4-way.  All P-values are <0.0001,[object Object]

Contenu connexe

Tendances

Epstein Mmws
Epstein MmwsEpstein Mmws
Epstein Mmwsenforme
 
AHF - Discharge from ICU to the Regular Ward.
AHF - Discharge from ICU to the Regular Ward.AHF - Discharge from ICU to the Regular Ward.
AHF - Discharge from ICU to the Regular Ward.drucsamal
 
Reducing Hospital Readmissions for Heart Failure
Reducing Hospital Readmissions for Heart FailureReducing Hospital Readmissions for Heart Failure
Reducing Hospital Readmissions for Heart FailureVSee
 
Cost burdenofchronic pain
Cost burdenofchronic painCost burdenofchronic pain
Cost burdenofchronic painPaul Coelho, MD
 
J2016 - Tecson et al AJC Impact of EECP on Heart Failure Rehospitalization
J2016 - Tecson et al AJC Impact of EECP on Heart Failure RehospitalizationJ2016 - Tecson et al AJC Impact of EECP on Heart Failure Rehospitalization
J2016 - Tecson et al AJC Impact of EECP on Heart Failure RehospitalizationEmily Hu
 
Complications of stroke
Complications of strokeComplications of stroke
Complications of strokeHans Garcia
 
Score risk chest pain
Score risk chest painScore risk chest pain
Score risk chest painmio190
 
Guidelines for the use of an insulin infusion for the management of hyperglic...
Guidelines for the use of an insulin infusion for the management of hyperglic...Guidelines for the use of an insulin infusion for the management of hyperglic...
Guidelines for the use of an insulin infusion for the management of hyperglic...Dr. Victor Euclides Briones Morales
 
Prospective, randomized comparison of two biphasic
Prospective, randomized comparison of two biphasicProspective, randomized comparison of two biphasic
Prospective, randomized comparison of two biphasicalatawi2
 
2004 pediat. motivos encaminhamento
2004 pediat. motivos encaminhamento 2004 pediat. motivos encaminhamento
2004 pediat. motivos encaminhamento gisa_legal
 
Twilight trila journal club
Twilight trila journal clubTwilight trila journal club
Twilight trila journal clubPriyanka Thakur
 

Tendances (18)

Epstein Mmws
Epstein MmwsEpstein Mmws
Epstein Mmws
 
P.natal
P.natalP.natal
P.natal
 
Journal club
Journal clubJournal club
Journal club
 
AHF - Discharge from ICU to the Regular Ward.
AHF - Discharge from ICU to the Regular Ward.AHF - Discharge from ICU to the Regular Ward.
AHF - Discharge from ICU to the Regular Ward.
 
Reducing Hospital Readmissions for Heart Failure
Reducing Hospital Readmissions for Heart FailureReducing Hospital Readmissions for Heart Failure
Reducing Hospital Readmissions for Heart Failure
 
Cost burdenofchronic pain
Cost burdenofchronic painCost burdenofchronic pain
Cost burdenofchronic pain
 
J2016 - Tecson et al AJC Impact of EECP on Heart Failure Rehospitalization
J2016 - Tecson et al AJC Impact of EECP on Heart Failure RehospitalizationJ2016 - Tecson et al AJC Impact of EECP on Heart Failure Rehospitalization
J2016 - Tecson et al AJC Impact of EECP on Heart Failure Rehospitalization
 
Complications of stroke
Complications of strokeComplications of stroke
Complications of stroke
 
Score risk chest pain
Score risk chest painScore risk chest pain
Score risk chest pain
 
Guidelines for the use of an insulin infusion for the management of hyperglic...
Guidelines for the use of an insulin infusion for the management of hyperglic...Guidelines for the use of an insulin infusion for the management of hyperglic...
Guidelines for the use of an insulin infusion for the management of hyperglic...
 
effects of-interactive-patient-smartphone
effects of-interactive-patient-smartphoneeffects of-interactive-patient-smartphone
effects of-interactive-patient-smartphone
 
2008.02.12 Massie Hyperlipidemia
2008.02.12    Massie   Hyperlipidemia2008.02.12    Massie   Hyperlipidemia
2008.02.12 Massie Hyperlipidemia
 
Prospective, randomized comparison of two biphasic
Prospective, randomized comparison of two biphasicProspective, randomized comparison of two biphasic
Prospective, randomized comparison of two biphasic
 
Ablación de FA ¿A quién y cómo?
Ablación de FA ¿A quién y cómo?Ablación de FA ¿A quién y cómo?
Ablación de FA ¿A quién y cómo?
 
Mdct2
Mdct2Mdct2
Mdct2
 
2004 pediat. motivos encaminhamento
2004 pediat. motivos encaminhamento 2004 pediat. motivos encaminhamento
2004 pediat. motivos encaminhamento
 
International Journal of Clinical Cardiology & Research
International Journal of Clinical Cardiology & ResearchInternational Journal of Clinical Cardiology & Research
International Journal of Clinical Cardiology & Research
 
Twilight trila journal club
Twilight trila journal clubTwilight trila journal club
Twilight trila journal club
 

En vedette

Explore vietnam’s miraculous far north by greentrailtourism
Explore vietnam’s miraculous far north by greentrailtourismExplore vietnam’s miraculous far north by greentrailtourism
Explore vietnam’s miraculous far north by greentrailtourismGreen Trail Tours
 
Innovative lessonplan
Innovative lessonplanInnovative lessonplan
Innovative lessonplanARCHANA VT
 
Welcome Presentation
Welcome PresentationWelcome Presentation
Welcome PresentationSumesh SV
 
Madhusha B Ed
Madhusha B Ed Madhusha B Ed
Madhusha B Ed Sumesh SV
 
Innovative lesson plan
Innovative lesson planInnovative lesson plan
Innovative lesson planviswajithb
 

En vedette (9)

Explore vietnam’s miraculous far north by greentrailtourism
Explore vietnam’s miraculous far north by greentrailtourismExplore vietnam’s miraculous far north by greentrailtourism
Explore vietnam’s miraculous far north by greentrailtourism
 
Innovative lessonplan
Innovative lessonplanInnovative lessonplan
Innovative lessonplan
 
Welcome Presentation
Welcome PresentationWelcome Presentation
Welcome Presentation
 
Welcome
WelcomeWelcome
Welcome
 
Madhusha B Ed
Madhusha B Ed Madhusha B Ed
Madhusha B Ed
 
Videoscript
VideoscriptVideoscript
Videoscript
 
Maths archana
Maths  archanaMaths  archana
Maths archana
 
Innovative lesson plan
Innovative lesson planInnovative lesson plan
Innovative lesson plan
 
Archana
ArchanaArchana
Archana
 

Similaire à TCT Bajaj

American Society of Nephrology Presentation 2006
American Society of Nephrology Presentation 2006American Society of Nephrology Presentation 2006
American Society of Nephrology Presentation 2006Gary Abud Jr
 
Cardiology Journal club
Cardiology Journal clubCardiology Journal club
Cardiology Journal clubPRAVEEN GUPTA
 
Dapt vs triple therapy, jacc
Dapt vs triple therapy, jaccDapt vs triple therapy, jacc
Dapt vs triple therapy, jaccKhushboo Gandhi
 
BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...
BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...
BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...Texas Children's Hospital
 
PRAMI clinical trial (for STEMI intervention)
PRAMI clinical trial (for STEMI intervention)PRAMI clinical trial (for STEMI intervention)
PRAMI clinical trial (for STEMI intervention)Abdelkader Almanfi
 
Classification and Regression Tree Analysis in Biomedical Research
Classification and Regression Tree Analysis in Biomedical Research Classification and Regression Tree Analysis in Biomedical Research
Classification and Regression Tree Analysis in Biomedical Research Salford Systems
 
Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...
Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...
Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...vita kusuma
 
AJMC-02-15-Pande-e80
AJMC-02-15-Pande-e80AJMC-02-15-Pande-e80
AJMC-02-15-Pande-e80Julie Donahue
 
Meta analisis of statin
Meta analisis of statinMeta analisis of statin
Meta analisis of statinEmy Oktaviani
 
Management of gastrointestinal bleeding in patients anticoagulated with dabig...
Management of gastrointestinal bleeding in patients anticoagulated with dabig...Management of gastrointestinal bleeding in patients anticoagulated with dabig...
Management of gastrointestinal bleeding in patients anticoagulated with dabig...Cardiovascular Diagnosis and Therapy (CDT)
 
journal 2 Coronary artery stenosis.pptx
journal 2 Coronary artery stenosis.pptxjournal 2 Coronary artery stenosis.pptx
journal 2 Coronary artery stenosis.pptxPavan Sagar
 
Cardiac rehab 2010 study
Cardiac rehab 2010 studyCardiac rehab 2010 study
Cardiac rehab 2010 studymb1028
 
Start impaact june 7 2011
Start impaact june 7 2011Start impaact june 7 2011
Start impaact june 7 2011Phil Boehmer
 
Start impaact june 7 2011
Start impaact june 7 2011Start impaact june 7 2011
Start impaact june 7 2011Phil Boehmer
 
Warfarin related nephropathy; Evidence Based Medicine
Warfarin related nephropathy; Evidence Based MedicineWarfarin related nephropathy; Evidence Based Medicine
Warfarin related nephropathy; Evidence Based MedicineWisit Cheungpasitporn
 
Pathophysiology Of Heart Failure
Pathophysiology Of Heart FailurePathophysiology Of Heart Failure
Pathophysiology Of Heart FailureStephanie King
 
International Study of Comparative Health Effectiveness with Medical and Inva...
International Study of Comparative Health Effectiveness with Medical and Inva...International Study of Comparative Health Effectiveness with Medical and Inva...
International Study of Comparative Health Effectiveness with Medical and Inva...Chi Pham
 

Similaire à TCT Bajaj (20)

American Society of Nephrology Presentation 2006
American Society of Nephrology Presentation 2006American Society of Nephrology Presentation 2006
American Society of Nephrology Presentation 2006
 
Cardiology Journal club
Cardiology Journal clubCardiology Journal club
Cardiology Journal club
 
Dapt vs triple therapy, jacc
Dapt vs triple therapy, jaccDapt vs triple therapy, jacc
Dapt vs triple therapy, jacc
 
BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...
BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...
BLOOD TRANSFUSIONS ARE ASSOCIATED WITH MORTALITY IN PEDIATRIC PATIENTS WITH S...
 
PRAMI clinical trial (for STEMI intervention)
PRAMI clinical trial (for STEMI intervention)PRAMI clinical trial (for STEMI intervention)
PRAMI clinical trial (for STEMI intervention)
 
Classification and Regression Tree Analysis in Biomedical Research
Classification and Regression Tree Analysis in Biomedical Research Classification and Regression Tree Analysis in Biomedical Research
Classification and Regression Tree Analysis in Biomedical Research
 
Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...
Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...
Sex Differences in Clinical Characteristics and Outcomes after Intracerebral ...
 
AJMC-02-15-Pande-e80
AJMC-02-15-Pande-e80AJMC-02-15-Pande-e80
AJMC-02-15-Pande-e80
 
Meta analisis of statin
Meta analisis of statinMeta analisis of statin
Meta analisis of statin
 
Jose miguel vegas valle sec sept2015
Jose miguel vegas valle sec sept2015Jose miguel vegas valle sec sept2015
Jose miguel vegas valle sec sept2015
 
Management of gastrointestinal bleeding in patients anticoagulated with dabig...
Management of gastrointestinal bleeding in patients anticoagulated with dabig...Management of gastrointestinal bleeding in patients anticoagulated with dabig...
Management of gastrointestinal bleeding in patients anticoagulated with dabig...
 
journal 2 Coronary artery stenosis.pptx
journal 2 Coronary artery stenosis.pptxjournal 2 Coronary artery stenosis.pptx
journal 2 Coronary artery stenosis.pptx
 
Stable angina
Stable anginaStable angina
Stable angina
 
Cardiac rehab 2010 study
Cardiac rehab 2010 studyCardiac rehab 2010 study
Cardiac rehab 2010 study
 
Start impaact june 7 2011
Start impaact june 7 2011Start impaact june 7 2011
Start impaact june 7 2011
 
Start impaact june 7 2011
Start impaact june 7 2011Start impaact june 7 2011
Start impaact june 7 2011
 
Warfarin related nephropathy; Evidence Based Medicine
Warfarin related nephropathy; Evidence Based MedicineWarfarin related nephropathy; Evidence Based Medicine
Warfarin related nephropathy; Evidence Based Medicine
 
Pathophysiology Of Heart Failure
Pathophysiology Of Heart FailurePathophysiology Of Heart Failure
Pathophysiology Of Heart Failure
 
Lo mejor en insuficiencia cardiaca
Lo mejor en insuficiencia cardiacaLo mejor en insuficiencia cardiaca
Lo mejor en insuficiencia cardiaca
 
International Study of Comparative Health Effectiveness with Medical and Inva...
International Study of Comparative Health Effectiveness with Medical and Inva...International Study of Comparative Health Effectiveness with Medical and Inva...
International Study of Comparative Health Effectiveness with Medical and Inva...
 

Plus de TriMed Media Group

HCLF 2013: Evidence at the Center of Care
HCLF 2013: Evidence at the Center of CareHCLF 2013: Evidence at the Center of Care
HCLF 2013: Evidence at the Center of CareTriMed Media Group
 
Forecast of Statin Market to 2018
Forecast of Statin Market to 2018Forecast of Statin Market to 2018
Forecast of Statin Market to 2018TriMed Media Group
 
PCPs speak out on rad reporting
PCPs speak out on rad reportingPCPs speak out on rad reporting
PCPs speak out on rad reportingTriMed Media Group
 
Step up to bat and practice dictating complex cases a residents guide to effe...
Step up to bat and practice dictating complex cases a residents guide to effe...Step up to bat and practice dictating complex cases a residents guide to effe...
Step up to bat and practice dictating complex cases a residents guide to effe...TriMed Media Group
 
Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...
Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...
Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...TriMed Media Group
 
Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...
Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...
Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...TriMed Media Group
 
How Healthcare Reform Is Affecting Radiology, Pam Kassing
How Healthcare Reform Is Affecting Radiology, Pam KassingHow Healthcare Reform Is Affecting Radiology, Pam Kassing
How Healthcare Reform Is Affecting Radiology, Pam KassingTriMed Media Group
 
Meaningful Use: Impact on Radiology, Arun Krishnaraj
Meaningful Use: Impact on Radiology, Arun KrishnarajMeaningful Use: Impact on Radiology, Arun Krishnaraj
Meaningful Use: Impact on Radiology, Arun KrishnarajTriMed Media Group
 
CMIO Summit 2011 | Reid Coleman
CMIO Summit 2011 | Reid ColemanCMIO Summit 2011 | Reid Coleman
CMIO Summit 2011 | Reid ColemanTriMed Media Group
 
2011 CMIO Summit | Justin Graham
2011 CMIO Summit | Justin Graham2011 CMIO Summit | Justin Graham
2011 CMIO Summit | Justin GrahamTriMed Media Group
 
2011 CMIO Summit | David Cochran
2011 CMIO Summit | David Cochran2011 CMIO Summit | David Cochran
2011 CMIO Summit | David CochranTriMed Media Group
 
2011 CMIO Summit | Brian McDonough
2011 CMIO Summit | Brian McDonough2011 CMIO Summit | Brian McDonough
2011 CMIO Summit | Brian McDonoughTriMed Media Group
 
2011 CMIO Summit | Abha Agrawal
2011 CMIO Summit | Abha Agrawal2011 CMIO Summit | Abha Agrawal
2011 CMIO Summit | Abha AgrawalTriMed Media Group
 

Plus de TriMed Media Group (20)

2013 AMDIS Fall Symposium
2013 AMDIS Fall Symposium2013 AMDIS Fall Symposium
2013 AMDIS Fall Symposium
 
HCLF 2013: Evidence at the Center of Care
HCLF 2013: Evidence at the Center of CareHCLF 2013: Evidence at the Center of Care
HCLF 2013: Evidence at the Center of Care
 
2012 CMIO Leadership Forum
2012 CMIO Leadership Forum2012 CMIO Leadership Forum
2012 CMIO Leadership Forum
 
UPenn Oregon Telestroke
UPenn Oregon Telestroke UPenn Oregon Telestroke
UPenn Oregon Telestroke
 
Forecast of Statin Market to 2018
Forecast of Statin Market to 2018Forecast of Statin Market to 2018
Forecast of Statin Market to 2018
 
PCPs speak out on rad reporting
PCPs speak out on rad reportingPCPs speak out on rad reporting
PCPs speak out on rad reporting
 
Step up to bat and practice dictating complex cases a residents guide to effe...
Step up to bat and practice dictating complex cases a residents guide to effe...Step up to bat and practice dictating complex cases a residents guide to effe...
Step up to bat and practice dictating complex cases a residents guide to effe...
 
Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...
Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...
Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing...
 
RSNA 2012 - Photolog
RSNA 2012 - PhotologRSNA 2012 - Photolog
RSNA 2012 - Photolog
 
201209 cit-w&inicu
201209 cit-w&inicu201209 cit-w&inicu
201209 cit-w&inicu
 
Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...
Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...
Inside a Private HIE: Clinical, Economic and Operational Successes at The Was...
 
How Healthcare Reform Is Affecting Radiology, Pam Kassing
How Healthcare Reform Is Affecting Radiology, Pam KassingHow Healthcare Reform Is Affecting Radiology, Pam Kassing
How Healthcare Reform Is Affecting Radiology, Pam Kassing
 
Meaningful Use: Impact on Radiology, Arun Krishnaraj
Meaningful Use: Impact on Radiology, Arun KrishnarajMeaningful Use: Impact on Radiology, Arun Krishnaraj
Meaningful Use: Impact on Radiology, Arun Krishnaraj
 
CMIO Summit 2011 | Reid Coleman
CMIO Summit 2011 | Reid ColemanCMIO Summit 2011 | Reid Coleman
CMIO Summit 2011 | Reid Coleman
 
2011 CMIO Summit | Justin Graham
2011 CMIO Summit | Justin Graham2011 CMIO Summit | Justin Graham
2011 CMIO Summit | Justin Graham
 
2011 CMIO Summit | Don Levick
2011 CMIO Summit | Don Levick2011 CMIO Summit | Don Levick
2011 CMIO Summit | Don Levick
 
2011 CMIO Summit | David Cochran
2011 CMIO Summit | David Cochran2011 CMIO Summit | David Cochran
2011 CMIO Summit | David Cochran
 
2011 CMIO Summit | Brian McDonough
2011 CMIO Summit | Brian McDonough2011 CMIO Summit | Brian McDonough
2011 CMIO Summit | Brian McDonough
 
2011 CMIO Summit | Ben Stein
2011 CMIO Summit | Ben Stein2011 CMIO Summit | Ben Stein
2011 CMIO Summit | Ben Stein
 
2011 CMIO Summit | Abha Agrawal
2011 CMIO Summit | Abha Agrawal2011 CMIO Summit | Abha Agrawal
2011 CMIO Summit | Abha Agrawal
 

Dernier

EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 

Dernier (20)

EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 

TCT Bajaj

  • 1.
  • 2.
  • 3. Weihong Fan receives salary support from The Medicines Company.
  • 4. Howard A. Cohen has no conflicts to disclose.
  • 5.
  • 6. The economic impact of BIV or unfractionated heparin/enoxaparin (HEP) use during PCI, with or without glycoprotein IIb/IIIa inhibitor (GPI), in unselected patients, is less certain.
  • 7.
  • 8. The database contains standard data elements available in hospital discharge files.   Diagnoses and procedures are categorized according to the International Classification of Diseases, Ninth Revision (ICD-9), and Current Procedural Terminology (CPT) codes.
  • 9. Data routinely undergo quality and completeness checks (data verification, reconciliation, and validation) as well as checks on clinical resource consumptions, manual data audit, and a warehouse audit. 5
  • 10.
  • 11.
  • 12. Treatment decisions were based on physician preference and individual hospital standards of care and policy. Multivariate analysis (MVA) was used to adjust for confounding patient and hospital covariates and bleeding complications.
  • 13. Linear regression models of LOS, actual cost of hospitalization, and natural log transform of cost were developed. Covariates included: patient demographics, admission year, diagnosis (STEMI, non-STEMI, unstable angina, stable angina, chronic ischemic heart disease(CIHD)), insurance payor, hospital characteristics (region, rural/urban, teaching status, and bed size), patient co-morbidities, concomitant medication use, procedural information, and bleeding complications.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Univariate analysis indicated BIV monotherapy was associated with lower costs and shorter LOS after PCI.
  • 24. After adjustment for covariates, BIV monotherapy was associated with significantly lower costs ($1116 less) and shorter LOS after PCI (0.276 days less) when compared with HEP+GPI.
  • 25.
  • 26. Inherent limitations of registry data and data collection.
  • 27. Exclusion of significant number of PCI patients (22.5%) without a record of treatment of either bivalirudin ± GPI or heparins ± GPI.
  • 28.