TRENDS IN THE UTILIZATION OF INPATIENT TRANSTHORACIC ECHOCARDIOGRAPHY: AN ANALYSIS OF 8 MILLION...
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Non Invasive Imaging A973 JACC April 1, 2014 Volume 63, Issue 12 TRENDS IN THE UTILIZATION OF INPATIENT TRANSTHORACIC ECHOCARDIOGRAPHY: AN ANALYSIS OF 8 MILLION NATIONWIDE INPATIENT ADMISSIONS Moderated Poster Contributions Hall C Saturday, March 29, 2014, 10:00 a.m.-10:15 a.m. Session Title: Echocardiography: From Utilization to Prognostication Abstract Category: 15. Non Invasive Imaging: Echo Presentation Number: 1129M-363A Authors: Alex Papolos, Jagat Narula, Partho Sengupta, Mount Sinai Medical Center, New York, NY, USA Background: Given the increasing debate concerning appropriate use of transthoracic echocardiography (TTE), we assessed the practice patterns for inpatient TTE in relation with cost of hospitalization and mortality outcomes. Methods: All projected national admissions in which TTE was designated the primary procedure were examined by using the Nationwide Inpatient Sample (NIS) database. Trends in volume, mortality, and resource utilization (including hospital charges and length of stay) were analyzed from 2001-2011. Furthermore, we evaluated the 2010 data stratified by admission diagnosis. Results: The incidence of inpatient TTE per 100,000 admissions increased at an average annual rate of 3.9% (Fig 1A). Normalized to national trends, patients undergoing TTE averaged a 3%/year decreased relative risk of mortality, 1.4%/year decline in length of stay, and 2.1%/year decrease in hospital charge. In 2010, TTE was associated with decreased mortality in five of the six leading admission diagnoses associated with the test, specifically; acute myocardial infarction, congestive heart failure, dysrhythmia, acute cerebrovascular disease, and sepsis (Fig 1B). Despite favorable outcomes, TTE was performed in only 7.4% of the 2.9 million national admissions for these diagnoses. Conclusion: The NIS data suggests that inpatient TTE may be underutilized despite favorable association with quality metrics of inpatient care, defined here as declining rates of hospital; mortality, charge, and length of stay.
Transcript of TRENDS IN THE UTILIZATION OF INPATIENT TRANSTHORACIC ECHOCARDIOGRAPHY: AN ANALYSIS OF 8 MILLION...
Non Invasive Imaging
A973JACC April 1, 2014
Volume 63, Issue 12
Trends in The UTilizaTion of inpaTienT TransThoracic echocardiography: an analysis of 8 Million naTionwide inpaTienT adMissions
Moderated Poster ContributionsHall CSaturday, March 29, 2014, 10:00 a.m.-10:15 a.m.
Session Title: Echocardiography: From Utilization to PrognosticationAbstract Category: 15. Non Invasive Imaging: EchoPresentation Number: 1129M-363A
Authors: Alex Papolos, Jagat Narula, Partho Sengupta, Mount Sinai Medical Center, New York, NY, USA
Background: Given the increasing debate concerning appropriate use of transthoracic echocardiography (TTE), we assessed the practice patterns for inpatient TTE in relation with cost of hospitalization and mortality outcomes.
Methods: All projected national admissions in which TTE was designated the primary procedure were examined by using the Nationwide Inpatient Sample (NIS) database. Trends in volume, mortality, and resource utilization (including hospital charges and length of stay) were analyzed from 2001-2011. Furthermore, we evaluated the 2010 data stratified by admission diagnosis.
results: The incidence of inpatient TTE per 100,000 admissions increased at an average annual rate of 3.9% (Fig 1A). Normalized to national trends, patients undergoing TTE averaged a 3%/year decreased relative risk of mortality, 1.4%/year decline in length of stay, and 2.1%/year decrease in hospital charge. In 2010, TTE was associated with decreased mortality in five of the six leading admission diagnoses associated with the test, specifically; acute myocardial infarction, congestive heart failure, dysrhythmia, acute cerebrovascular disease, and sepsis (Fig 1B). Despite favorable outcomes, TTE was performed in only 7.4% of the 2.9 million national admissions for these diagnoses.
conclusion: The NIS data suggests that inpatient TTE may be underutilized despite favorable association with quality metrics of inpatient care, defined here as declining rates of hospital; mortality, charge, and length of stay.
