Table 16:
Cost and Probability Parameters
| Variable | Value | Reference |
|---|---|---|
| Costs | ||
| BNP | ||
| Hospital lab | $75.00 | Ontario hospital websites70 |
| Community lab | $28.14 | BC Schedule of Fees, 201969 |
| Point-of-care test | $40.00 | Chuck and Jacobs, 200585 |
| NT-proBNP | ||
| Hospital lab | $82.50 | Assume unit cost to be 10% higher than BNP |
| Community lab | $28.14 | BC Schedule of Fees, 201969 |
| Point-of-care test | $44.00 | Assume unit cost to be 10% higher than BNP |
| Echocardiography | $208.80 | Schedule of Benefit (G570 technical component: $112.60; G571 professional component: $96.20)72 |
| GP consultation | $77.20 | Schedule of Benefit, 2019 (A005)72 |
| Cardiology consultation | $157.00 | Schedule of Benefit, 2019 (A605)72 |
| ED visit | $454.00 | Ontario Case Costing, 2017/1880 |
| Hospitalization for HF | $9,387.00 | Ontario Case Costing, 2017/1880 (LOS 8.8 d) |
| Hospitalization for other conditions | $5,460.00 | CIHI 2017/18 (LOS 6.7 d)73 |
| Hospital bed day | $815.00 | Estimated as $5,460.00/6.7 |
| Probabilities | ||
| % FN corrected during admission | 80% | Griffin et al, 2017;54 NICE Acute HF guideline19 |
| Additional LOS if FN is uncorrected | 2.00 | Griffin et al, 2017;54 NICE Acute HF guideline19 |
| % ED HF patients hospitalized | 63% | IntelliHealth Ontario83 |
| % ED non-HF patients hospitalized | 47% | IntelliHealth Ontario83 |
| Annual % hospitalization of untreated HF in community care | 4% | NICE Chronic HF guideline20 |
Abbreviations: BNP, B-type natriuretic peptide; ED, emergency department; FN, false negative; GP, general practitioner; HF, heart failure; LOS, length of stay; NT-proBNP, N-terminal proBNP.