Parameter | Deterministic values (min – max range) | Distribution | Source |
---|---|---|---|
Costs & event occurrence | Â | Â | Â |
Cost of conventional cTnT test | €17.11(12.8-21.4) | Beta PERT | Commercial price at MUMC |
Cost of new hsTnT test | €31.5 (23.6-39.4) | Beta PERT | Time & motion study* |
Cost of AMI in 1st year | € 12446 ( 9334–15557) | GAMMA | [21] |
Cost of AMI in subsequent year | € 2092 (1569–2615) | GAMMA | [21] |
Utility score for AMI | 0.725 (0.544-0.906) | BETA | [19] |
Discount rate: cost | 0.4 | Fixed | [23] |
Discount rate: Effect | 0.15 | Fixed | [23] |
Prevalence of AMI among patients presenting with chest pain | 0.30 (0.23 -0.38) | Beta PERT | [5] |
Risk adjusted mortality ratio among inappropriately discharged AMI patients | 1.9 (1.43 -2.38) | Beta PERT | [20] |
Life expectancy of AMI survivor (years) | 8.3 (6.23-10.38) | Beta PERT | [16] |
Diagnostic accuracy | Â | Â | [17] |
cTnT sensitivity at ≤6 hours | 0.44 (0.32-0.56) | BETA | |
cTnT sensitivity at ≤12 hours | 0.93 (0.85-0.97) | BETA | |
cTnT specificity at ≤6 hours | 0.92 (0.88-0.95) | BETA | |
cTnT specificity at ≤12 hours | 0.85 (0.76-0.91) | BETA | |
hsTnT sensitivity at ≤6 hours | 0.94 (0.87-0.98) | BETA | |
hsTnT sensitivity at ≤12 hours | 0.95 (0.91-0.98) | BETA | |
hsTnT specificity at ≤6 hours | 0.52 (0.39-0.65) | BETA | |
hsTnT specificity at ≤12 hours | 0.51 (0.40-0.62) | BETA | |
hsTnT + hFABP sensitivity at ≤6 hours | 0.97 (0.90-0.99) | BETA | |
hsTnT + hFABP sensitivity at ≤12 hours | 0.97 (0.93-0.99) | BETA | |
hsTnT + hFABP specificity at ≤ 6 hours | 0.39 (0.27-0.51) | BETA | |
hsTnT + hFABP specificity at ≤ 12 hours | 0.38 (0.27-0.49) | BETA | |
Event occurrence | Â | Â | |
Average of AMI mortality among patients given PPCI within 4Â hours of presentation | 0.062 (0.0468-0.0780) | Beta PERT | Calculated from [3] |
AMI mortality among patients given PPCI after 4Â hours of presentation | 0.103 (0.077-0.1288) | Beta PERT | [3] |
PPCI procedure related mortality | 0.0072 (0.0054-0.009) | Beta PERT | [18] |