Table 1.
Five-year cumulative cost savings with IVT and MT
mRS distribution (%) |
5-Year cumulative cost for 100 patients (USD) |
Cost saving per patient (USD) | ||||
---|---|---|---|---|---|---|
Control | IVT/MT | Control | IVT/MT | |||
IVT | ||||||
mRS | ||||||
0 | 12.4 | 17.2 | 664,367 | 921,542 | ||
1 | 16.6 | 19.5 | 930,579 | 1,093,151 | ||
2 | 13.1 | 11.5 | 1,426,485 | 1,252,258 | ||
3 | 13.3 | 13.5 | 2,680,775 | 2,721,087 | ||
4 | 14.5 | 9.9 | 4,048,226 | 2,763,961 | ||
5 | 11.1 | 10.9 | 2,858,095 | 2,806,597 | ||
6 | 19.0 | 17.5 | 548,454 | 505,155 | ||
Total | 100.0 | 100.0 | 13,156,981 | 12,063,751 | ||
Cost saving per patient (USD) | ||||||
DRG-based payment system | 10,932 | |||||
FFS-based payment system | 9,753 | |||||
MT | ||||||
mRS | ||||||
0 | 5.0 | 10.0 | 267,890 | 535,780 | ||
1 | 7.9 | 16.9 | 442,866 | 947,397 | ||
2 | 13.6 | 19.1 | 1,480,931 | 2,079,837 | ||
3 | 16.4 | 16.9 | 3,305,617 | 3,406,398 | ||
4 | 24.7 | 15.6 | 6,895,944 | 4,355,333 | ||
5 | 13.5 | 6.2 | 3,476,061 | 1,596,413 | ||
6 | 18.9 | 15.3 | 545,567 | 441,650 | ||
Total | 100.0 | 100.0 | 16,414,876 | 13,362,808 | ||
Cost saving per patient (USD) | ||||||
DRG-based payment system | 20,807 | |||||
FFS-based payment system | 24,058 |
Five-year cumulative costs for 100 patients without including additional expense for IVT or MT were calculated by (each mRS proportion×100)×(5-year cumulative cost for each mRS level). Cost saving per patient was calculated by (5-year cumulative costs for 100 patients)/100–(additional expense for IVT or MT).
IVT, intravenous thrombolysis; MT, mechanical thrombectomy; mRS, modified Rankin Scale; USD, US dollar; DRG, diagnostic-related group; FFS, fee-for-service.