Volume 11, Issue 2 (vol- 3 2005)
Intern Med Today 2005, 11(2): 26-30 |
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Ghandehari K, Jafarnejad M. Cost-effectiveness of transthoracic echocardiography in stroke patients. Intern Med Today 2005; 11 (2) :26-30
URL: http://imtj.gmu.ac.ir/article-1-218-en.html
URL: http://imtj.gmu.ac.ir/article-1-218-en.html
1- , kavianghandehari@yahoo.com
Abstract: (17073 Views)
Background and Aim: Utility of Trans-Thoracic Echocardiography (TTE) in stroke patients is considerable and its cost-effectiveness should be evaluated. Consecutive stroke patients admitted in Valie Asr hospital, Khorasan in 2003-2004 enrolled in this prospective study.
Materials and Methods: All of the patients underwent a standard battery of diagnostic investigations including TTE for detection of high-risk cardioembolic sources. The cost-effectiveness of TTE was estimated with using indicational strategies of Braunwald, Warlow and the authors.
Results: By performing 302 TTE in all of the stroke patients, 40 cases (13.2%) with high-risk cardioembolic sources were detected. Braunwald, Warlow and authors strategies could reveal 95%, 95% and 87.5% of these high risk cardioembolic sources respectively. The author’s strategy had little expenses comparing with other methods.
Conclusion: Indicational strategies with best cost-effectiveness are recommended in developing countries.
Keywords: : Echocardiography; Stroke; Indication
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