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Titolo:
Cost-effectiveness of primary PTCA and thrombolysis in the treatment of acute myocardial infarction
Autore:
Sagmeister, M; Amann, FW; Follath, F;
Indirizzi:
Univ Zurich Hosp, Gastroenterol & Hepatol Abt, CH-8091 Zurich, SwitzerlandUniv Zurich Hosp Zurich Switzerland CH-8091 CH-8091 Zurich, Switzerland Tufts Univ, New England Med Ctr, Dept Med, Div Clin Decis Making, Boston, MA 02111 USA Tufts Univ Boston MA USA 02111 iv Clin Decis Making, Boston, MA 02111 USA Univ Spital Zurich, Abt Kardiol, Zurich, Switzerland Univ Spital Zurich Zurich Switzerland Abt Kardiol, Zurich, Switzerland Univ Spital Zurich, Med Klin A, Zurich, Switzerland Univ Spital Zurich Zurich Switzerland , Med Klin A, Zurich, Switzerland
Titolo Testata:
SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT
fascicolo: 33, volume: 130, anno: 2000,
pagine: 1146 - 1151
SICI:
0036-7672(20000819)130:33<1146:COPPAT>2.0.ZU;2-V
Fonte:
ISI
Lingua:
GER
Soggetto:
PRIMARY CORONARY ANGIOPLASTY; IMMEDIATE ANGIOPLASTY; PLASMINOGEN-ACTIVATOR; THERAPY; STREPTOKINASE; SWITZERLAND; MORTALITY; TRIAL;
Keywords:
myocardial infarction; PTCA; thrombolysis; cost-effectiveness;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Sagmeister, M Univ Zurich Hosp, Gastroenterol Abt, Ramistr 100, CH-8091 Zurich, Switzerland Univ Zurich Hosp Ramistr 100 Zurich Switzerland CH-8091 and
Citazione:
M. Sagmeister et al., "Cost-effectiveness of primary PTCA and thrombolysis in the treatment of acute myocardial infarction", SCHW MED WO, 130(33), 2000, pp. 1146-1151

Abstract

Clinical studies have shown a favourable outcome for primary PTCA comparedwith thrombolysis in the treatment of acute myocardial infarction. No dataare available in Switzerland on the logistic and economic implications of treating more acute myocardial infarction patients by PTCA. The present paper sets out to assess all published studies comparing the cost-effectiveness of the two treatment modalities. A Medline search identified seven original cost and cost-effectiveness studies conducted between 1989 and 1999. According to these studies emergency PTCA generates costs similar to thrombolysis in the treatment of acute myocardial infarction if the infrastructure is available and there is high volume output. Better clinical results, as suggested by the literature, would result in a favourable cost-effectiveness ratio for primary PTCA.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 00:09:03