Economical revenue comes out of investing in CardiotomTM
A study made at Karolinska Universitetssjukhuset, Karolinska Institutet & KTH shows that substantial economical revenue comes out of investing in Cardiotom.
With two patients per day the investment pays itself in less than 18 month. Adolesco will see to that the customers of Cardiotom will get a professionally financing. A variety of possibilities exist. Everything from lease, lease and buy, pay per patient to cash.
A cost benefit analysis of the use of a mobile 3D-gamma camera for cardiac diagnosis
- a brief summary
Cardiotom is a mobile tomographic gamma camera developed and marketed by Adolesco AB.
M.E.E. Magnus Brunn in his master's thesis Analys av kostnadseffektivitet och vårdkedja vid införande av mobil gammakamera för hjärtdiagnostik presented a theoretical cost benefit analysis of using Cardiotom for the diagnosis of cardiac disorders in the emergency room or acute situation. The outcome of the study is very positive, but the study has it limitations, it is based on a review of the relevant literature, present care processes, statistics and interviews and the result is a theoretical model of how the 24/365 use of a mobile gamma camera in the acute situation can improve care and lower costs. The favourable results from his model study are now being verified by a clinical investigation, Mobile gamma camera in the emergency room as a gate keeper - better care for patients with chest pain at lower cost (SLL20060828). The clinical investigation is sponsored by the Karolinska University Hospital and the County of Stockholm and is expected to be completed during 2009/2010.
This is a very brief summary of Brunn's report:
Myocardial Perfusion Scintigraphy (MPS) has in several studies been shown to be the superior and most efficient method for the diagnosis as well as prognosis of ischemic heart disease . Non-invasive MPS has shown a sensitivity for finding coronary vessel diseases of 96 % compared with 35 % for EKG. MPS can contrary to enzymatic markers detect or exclude ischemic regions and infarctions in the early acute phase [1, 7, 9] enabling an early decision on how to handle the patient. One example is Udelson's  investigation of the benefits of using MPS in the emergency room. His results are summarised in the table below:
|MPS strategy (%)||Normal strategy (%)|
|A & E (accident and emergency)||30,4||37,0|
|After care - Cardiac Unit||10,8||13,8|
After Udelson et al16
With MPS fewer patients were hospitalised and more could be sent home. The study clearly demonstrated that MPS reduces unnecessary hospitalisation without risks for patients suffering from ischemic heart disease.
The results presented above indicate that the use of MPS can lead to substantial economical benefits. Costs associated with ischemic heart disease are, however, difficult to asses. The Empire study  estimates that the use of MPS results in a cost saving of around $ 448 per patient for a hospital with 1000 acute cardiac patients a year. Weissmann et. al. found that savings of $ 786 were possible through the use of MPS. Heller et. al.  found that savings of $ 4 258 per patient where possible.
These results and other show that large savings, with benefits to patient without loss of quality of care, are possible through the use of MPS. The spread in reported savings illustrates that exact measures are difficult to obtain and that actual savings will depend very much on how the implementation of MPS is carried out.
Implementation of MPS with Cardiotom
For the realisation of the benefits described above MPS must be available nearly 24/365. For this Cardiotom is well suited. Cardiotom does not need any installation and can be freely moved around as needed, the patient can be examined in a hospital bed and even be attached to life support equipment. Brunn developed the patient management model illustrated below as an example of how Cardiotom can be incorporated in the clinical routine:
The savings are substantial, investment in equipment and training costs are recovered already after 79 patients.
References and relevant literature
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ISBN 91-7201-875-5, Artikelnr: 2004-102-2 Sättning: Intellecta Communication AB
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