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Is nonadmission-based care for TIA patients cost-effective?: A microcosting study.


ABSTRACT: We previously demonstrated the safety and effectiveness of a nonadmission-based model for TIA care (Monash TIA Triaging Treatment [M3T]). In this microcosting study, we used a pre-post cohort design with multivariable uncertainty analyses to compare actual resource utilization costs between M3T (years 2004-2007) and the previous admission-based model (2003). Average total episode costs per patient were significantly less for M3T (Australian dollars [AUD] 1,927.00, 95% confidence interval [CI] AUD 1,829.00-1,037.00) compared with the admission-based model (AUD 4,841.00, 95% CI AUD 4,178.00-5,590.00). Nonadmission care in M3T was substantially cost-saving with a median 3 (95% uncertainty interval 0.7-6.0) additional strokes averted per 100 patients treated, based on an observed 90-day stroke rate of 1.50% (95% CI 0.73%-3.05%) and 4.67% (95% CI 2.28%-9.32%) in the admission-based model.

SUBMITTER: Sanders LM 

PROVIDER: S-EPMC5764429 | biostudies-other | 2015 Feb

REPOSITORIES: biostudies-other

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Is nonadmission-based care for TIA patients cost-effective?: A microcosting study.

Sanders Lauren M LM   Cadilhac Dominique A DA   Srikanth Velandai K VK   Chong Chia Pei CP   Phan Thanh G TG  

Neurology. Clinical practice 20150201 1


We previously demonstrated the safety and effectiveness of a nonadmission-based model for TIA care (Monash TIA Triaging Treatment [M3T]). In this microcosting study, we used a pre-post cohort design with multivariable uncertainty analyses to compare actual resource utilization costs between M3T (years 2004-2007) and the previous admission-based model (2003). Average total episode costs per patient were significantly less for M3T (Australian dollars [AUD] 1,927.00, 95% confidence interval [CI] AU  ...[more]

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