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letter
. 2020 May 31;22(2):262–265. doi: 10.5853/jos.2020.00556

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.