COST ANALYSIS OF CORONARY INTERVENTIONS: TRANSRADIALOR TRANSFEMORAL?

The purpose of this research is to conduct cost minimisation analysis of coronary angiography interventions with Transradial (TRA) and Transfemoral (TFA) approach. Thus, operators will be guided in relation with intervention selection and cardiovascular area on the subject matter will be enriched which is quite inadequate with a cost analysis sample. The research has been conducted by evaluating and examining of data of the patients who had coronary angiography. Population of the research consists of angiography interventions in the scope of the research carried out within the year of 2013 in a Cardiology Clinic of a tertiary hospital. Patient records were randomly selected. At the end of the research, the findings have revealed that the costs of TRA and TFA have been respectively Turk ish Liras (TRY)746,214 and TRY 710,040. The cost of TRA approach is higher than TFA approach. On the other hand, experts' opinion is that TRA approach is a more reliable alternative compared to TFA approach. In the selection process of the approach to be used by the operators, it would be beneficial for the patients when both the cost and results of the intervention are co nsidered simultaneously

KORONER GİRİŞİMLERİN MALİYET ANALİZİ: TRANSRADIAL MİTRANSFEMORAL Mİ?

Araştırmanın amacı, Transradial (TRA) ve Transfemoral (TFA) yaklaşım ile yapılan koroner anjiyografi işlemlerinin maliyet minimizasyon analizinin yapılmasıdır. Böylece, uygulayıcılara işlem tercihi konusunda rehberlik sağlanacak aynı zamanda kardiyovasküler alanda oldukça yetersiz olan bir maliyet analizi örneği kazandırılacaktır. Araştırma retrospektif olarak koroner anjiografi işlemi yapılan hastalara ait verilerin incelenmesi ve değerlendirilmesi yoluyla yürütülmüştür. Araştırmanın evrenini üçüncü basamak bir hastanenin k ardiyoloji k liniğinde 2013 yılı içinde yapılan anjiografi işlemleri oluşturmak tadır. Randomize seçilen hasta kayıtları araştırma kapsamına alınmıştır. Araştırma sonucunda TRA maliyeti 746,214 TL, TFA maliyeti 710,04 TL olarak bulunmuştur. TRA yaklaşımının maliyeti TFA yaklaşımından daha yüksektir. Buna karşılık, uzman görüşleri, TRA yaklaşımının TFA yaklaşımına göre daha güvenli bir alternatif olduğu yönündedir. Uygulayıcılar tarafından, hangi yaklaşım türünün seçileceği belirlenirken, işlemin parasal maliyeti ve işlemi n sonuçlarının birlikte düşünülmesi, hastalar açısından yararlı olacaktır

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