Abstract P162: Hospital Costs and Revenue are Similar for Out of Hospital Cardiac Arrest and Acute Myocardial Infarction Patients
Hospital Costs and Revenue are Similar for Out of Hospital Cardiac Arrest and Acute Myocardial Infarction Patients Care provided to patients that survive to hospital admission (Admitted) after out of hospital cardiac arrest (OOHCA) is sometimes viewed as expensive and a poor use of hospital resources
Objective: To describe financial parameters of care for patients resuscitated from out of Hospital Cardiac Arrest (OOHCA) and compare those parameters to those of STEMI patients.
Methods: Retrospective review of OOHCA patients admitted to a large academic community hospitals from 1– 04 –10/07. Demographic data, length of stay (LOS) and discharge disposition were obtained for all patients. Financial parameters of patient care including total cost, net revenue, and operating margin were calculated by hospital cost accounting and reported as medians. To provide a reference group for context, similar financial data was obtained for STEMI patients admitted during the same time period. Non-parametric tests were used for analysis.
Results: During the study period, there were 72 Admitted OOCHA patients and 413 STEMI patients. OOCHA and STEMI groups were similar for age, gender, or insurance type. Overall, 27 (37.0%) of OOHCA patients survived to hospital discharge. Median LOS for OOHCA patients was 3 days (1–45). Comparison of median financial data identifies no difference between OOCHA and STEMI patients in table⇓
Conclusion:. Cost and revenue parameters for OOCHA patients are similar to those of STEMI patients. OOCHA patients do not impose an undo cost burden on hospitals. Further work is needed to understand the financial impact of OOCHA patients on hospitals.