Journal article
Determinants of hospital cost and length of stay for patients undergoing electrophysiologic testing
The American journal of cardiology, v 60(4)
1987
PMID: 3113224
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To assess the effects of various clinical factors in determining the cost and length of stay in patients undergoing electrophysiologic testing for cardiac arrhythmias, the hospital cost and length of stay data were reviewed in 222 consecutive inpatients who underwent electrophysiologic testing from January 1 to December 31, 1984. Admissions were classified as: primarily for treatment of arrhythmias (171 patients); primarily for treatment of arrhythmias but with serious concurrent illnesses that prolonged hospitalization (43 patients); or primarily for nonarrhythmic problems with electrophysiologic study an incidental part of hospitalization (8 patients). Based on allowable length of stay for the applicable DRGs, actual hospitalizations exceeded Medicare allowable length of stay by 50 to 500%. Retrospective review of hospital charts indicated that 3 clinical factors serve as effective markers in determining length of stay: need for amiodarone, induction of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF), and presence of serious other medical problems that require stabilization before electrophysiologic testing. Our data indicate that 3 classes of patients can be identified: I. DRG A (45%)—those who did not have sustained VT or VF induced, did not require amiodarone and had no serious concurrent illnesses. The mean length of stay was 7.1 days. II. DRG B patients (21%)—those who had sustained VT or VF induced, but did not require amiodarone and had no serious concurrent illnesses. The mean length of stay was 13.7 days. III. DRG C patients (34%)—those who either had a serious concurrent illness or required amiodarone. The mean length of stay was 19.7 days. This classification schema might allow a more appropriate system for determining reimbursement.
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Details
- Title
- Determinants of hospital cost and length of stay for patients undergoing electrophysiologic testing
- Creators
- Harold R. Kay - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USALeonard N. Horowitz - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAHoward Goldstein - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAE D Tanida - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USALewis C. Mills - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAAllan M. Greenspan - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USAScott R. Spielman - From the Division of Clinical Cardiac Electrophysiology and the Computer Center of the Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania, USA
- Publication Details
- The American journal of cardiology, v 60(4)
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Obstetrics and Gynecology
- Web of Science ID
- WOS:A1987J486600019
- Scopus ID
- 2-s2.0-0023179683
- Other Identifier
- 991019184307404721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems