Document Detail

B-type natriuretic peptide testing is associated with reduced cost in patients with secondary diagnosis of heart failure.
MedLine Citation:
PMID:  17140557     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study was designed to examine the effect of BNP use on resource utilization and clinical outcome in hospitalized patients with heart failure (HF). METHODS: Details of all (1788) hospital discharges over 12 months with ICD-9 code 428.x diagnosis were matched to the laboratory and echocardiography databases. Multiple linear regression and logistic regression analysis were performed using use of BNP testing, number of secondary diagnoses, sex, age, financial status, cardiology care, performance of echocardiography as dependent variables to predict length of stay, payable amount and discharge status in separate HF as primary and HF as secondary diagnosis groups. RESULTS: Use of BNP measurement was associated with an average $ Singapore 1305 (p=0.007) decrease in payable amount in patients with secondary diagnosis of HF when controlled for other variables. Its use was associated with reduced use of echocardiography in both primary (odds ratio: 0.04) and secondary (OR: 0.08) diagnosis groups. CONCLUSIONS: Use of BNP measurement was associated with reduced cost of hospitalization in patients with a secondary diagnosis of HF and with reduced use of echocardiography in heart failure patients. This suggests the potential of BNP measurement to reduce costs for the many patients whose multiple problems include HF.
Robert C Hawkins; Kenneth Ng Kwan Chung
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Publication Detail:
Type:  Journal Article     Date:  2006-10-21
Journal Detail:
Title:  Clinica chimica acta; international journal of clinical chemistry     Volume:  377     ISSN:  0009-8981     ISO Abbreviation:  Clin. Chim. Acta     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-03-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1302422     Medline TA:  Clin Chim Acta     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  276-8     Citation Subset:  IM    
Department of Pathology and Laboratory Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore.
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MeSH Terms
Heart Failure / blood*,  diagnosis,  economics*
Natriuretic Peptide, Brain / blood*,  economics*
Treatment Outcome
Reg. No./Substance:
114471-18-0/Natriuretic Peptide, Brain

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