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The Cost-Effectiveness of Coronary Care Units

  • Lee Goldman
  • Harvey Fineberg

Abstract

Since their inception in the early 1960s, coronary care units (CCUs) have undoubtedly saved many lives. However, anecdotal experience cannot substitute for a critical analysis of the impact of coronary care units, or for a comparison of the impact to the costs incurred.

Keywords

Acute Myocardial Infarction Ventricular Fibrillation Coronary Care Unit Cardial Infarction Intermediate Care 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Marshall RM, Bount SG, Genton E: Acute myocardial infarction: influence of a coronary care unit. Arch Intern Med 122: 473–475, 1968.CrossRefGoogle Scholar
  2. 2.
    Hofvendahl S: Influence of treatment in a CCU on prognosis in acute myocardial infarction. Acta Med Scand (Suppl) 519: 1–78, 1971.Google Scholar
  3. 3.
    Christensen 1, Iverson K, Skouby AP: Benefits obtained by the introduction of a coronary-care unit. Acta Med Scand 189: 285–291, 1971.Google Scholar
  4. 4.
    Norris RM, Brandt PWT, Lee AJ: Mortality in a coronary-care unit analysed by a new coronary prognostic index. Lancet 1: 278–281, 1969.PubMedCrossRefGoogle Scholar
  5. 5.
    Mather HG, Morgan DC, Pearson NG, et al: Myocardial infarction: a comparison between home and hospital care for patients. Br Med J 1: 925–929, 1976.PubMedCrossRefGoogle Scholar
  6. 6.
    Hill JD, Hampton JR, Mitchell JRA: A randomized trial of home-versus-hospital management for patients with suspected myocardial infarction. Lancet 1: 837–841, 1978.PubMedCrossRefGoogle Scholar
  7. 7.
    Adgey AAJ, Geddes JS, Webb SW, et al: Acute phase of myocardial infarction. Lancet 2: 501–304, 1971.PubMedCrossRefGoogle Scholar
  8. 8.
    Colling A, Dellipiani AW, Donaldson RJ, Mac-Cormack P: Teesside coronary survey: an epidemiological study of acute attacks of myocardial infarction. Br Med J 2: 1169–1172, 1976.PubMedCrossRefGoogle Scholar
  9. 9.
    Lie KI, Wellens HJ, Van Capelle FJ, Durrer D: Lidocaine in the prevention of primary ventricular fibrillation. N Engl J Med 291: 1324–1126, 1974.PubMedCrossRefGoogle Scholar
  10. 10.
    Goldman L, Batsford WP: Risk-benefit stratification as a guide to lidocaine prophylaxis of primary ventricular fibrillation in acute myocardial infarction: an analytic review. Yale J Biol Med 52: 455–466, 1979.PubMedGoogle Scholar
  11. 11.
    Rose G: The contribution of intensive coronary care. Br J Prev Soc Med 29: 147–150, 1975.PubMedGoogle Scholar
  12. 12.
    Goldman L, Cook F, Hashimoto B, Stone P, Muller J, Loscalzo A: Evidence that hospital care for acute myocardial infarction has not contributed to the decline in coronary mortality between 1973–1974 and 1978–1979. Circulation 65: 936–942, 1982.PubMedCrossRefGoogle Scholar
  13. 13.
    Mulley AG, Thibeault GE, Hughes RA, Barnett GO, Reder VA, Sherman EL: The course of patients with suspected myocardial infarction: the identification of low-risk patients for early transfer from intensive care. N Engl J Med 302: 943–948, 1980.PubMedCrossRefGoogle Scholar
  14. 14.
    Goldman L, Weinberg M, Weisberg M, et al: A computer-derived protocol to aid in the diagnosis of emergency room patients with acute chest pain. N Engl J Med 307: 588–596, 1982.PubMedCrossRefGoogle Scholar
  15. 15.
    Lie KI, Wellens HJ, Durrer D: Characteristics and predictability of primary ventricular fibrillation. Eur J Cardiol 1: 379–384, 1974.PubMedCrossRefGoogle Scholar
  16. 16.
    Lowrie DW, Higgins MR, Goldman MJ: Ventricular fibrillation complicating acute myocardial infarction. Lancet 2: 523–528, 1968.CrossRefGoogle Scholar
  17. 17.
    Chopra MP, Thadani V, Portal RW, et al: Lignocaine therapy for ventricular ectopic activity with acute myocardial infarction: a double-blind trial. Br Med J 3: 668–670, 1972.CrossRefGoogle Scholar
  18. 18.
    Bleifield W, Merx W, Heinrich KW, et al: Controlled trial of prophylactic treatment with lidocaine in acute myocardial infarction. Eur J Clin Pharmacol 6: 119–127, 1973.CrossRefGoogle Scholar
  19. 19.
    Crampton RS, Aldrich RF, Gascho JA, Miles JR, Stillerman R: Reduction of prehospital, ambulance and community coronary death rates by the community wide emergency cardiac care system. Am J Med 58: 151–164, 1975.PubMedCrossRefGoogle Scholar
  20. 20.
    Eisenberg MS, Copass MK, Hallstrom AP, et al: Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians. N Engl J Med 302: 1379–1382, 1980.PubMedCrossRefGoogle Scholar
  21. 20.
    Eisenberg MS, Copass MK, Hallstrom AP, et al: Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians. N Engl J Med 302: 1379–1382, 1980.PubMedCrossRefGoogle Scholar
  22. 22.
    Pozen MW, D’Agostino RB, Mitchell JB, et al: The usefulness of a predictive instrument to reduce inappropriate admissions to the coronary care unit. Ann Intern Med 92: 238–242, 1980.PubMedGoogle Scholar

Copyright information

© Martinus Nijhoff Publishing, Boston/Dordrecht/Lancaster 1985

Authors and Affiliations

  • Lee Goldman
  • Harvey Fineberg

There are no affiliations available

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