“Bridge” Therapy: Cost Effectiveness

• Smith et. al. –Chest 1999;116:360

• 20 patients

• Indication:

  • A.Fib.
  • Prosthetic valves

• Average ? LOS 4.1 days

• $34,000 in savings/20 pat

• Therapeutic LMWH

• No MB, 60% bruising, No TE

• Nutescu et. al. – Stroke 2001;

• 21 patients

• Indication:

  • Ischemic CVA + hypercoagulable state

• Surgical/invasive procedures

• Average ? LOS 6.5 days

• $3250/patient

• Therapeutic LMWH

• No MB, 38% bruising, No TE

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