Financial impact of reducing door-to-balloon time in ST-elevation myocardial infarction: a single hospital experience

Table 3 Characteristics of Patients with "Surgery" Diagnosis Related Groups

ED Activation/Immediate Transfer	IRA	Cardiogenic Shock	Left Main	3-V-CAD	Primary Surgery	DRG Weight	Total Charges
NO	RCA	Yes	Yes	No	CABG, VAD	19.5514	$516,563
NO	LAD	Yes	No	No	MVR, Aneurysm Resection	7.9180	$282,179
NO	LAD	No	Yes	Yes	CABG	7.3062	$64,707
NO	RCA	No	No	Yes	CABG	7.3062	$100,666
NO	RCA	Yes	No	Yes	CABG	7.3062	$149,503
NO	RCA	No	No	Yes	CABG	7.3062	$76,475
NO	RCA	No	Yes	Yes	CABG	7.3062	$79,628
NO	LAD	Yes	No	No	IABP	3.9587	$64,640
NO	LAD	Yes	No	No	IABP	3.9587	$125,504
YES	LAD	No	No	Yes	CABG	7.0346	$83,786
YES	LCx	Yes	No	No	CABG	7.0346	$208,978
YES	LAD	No	Yes	No	CABG	7.0346	$97,339
YES	LAD	Yes	No	No	IABP	3.9587	$51,238
YES	RCA	Yes	Yes	Yes	IABP	3.8417	$69,931
YES	LAD	Yes	No	No	IABP	3.8417	$91,175

Review of the "surgery" DRG's and of the highest resource utilization cases reveal that surgery (including non-CABG procedures) was commonly used in response to the development of post-myocardial infarction cardiogenic shock and not simply for coronary artery bypass grafting to allow for complete revascularization.
IRA = Infarct Related Artery, 3-V-CAD = Three Vessel Coronary Artery, DRG = Diagnosis Related Group, LAD = Left Anterior Descending Artery, LCX = Left Circumflex, Rca = Right Coronary Artery, CABG = Coronary Artery Bypass Grafting, VAD = Ventricular Assist Device, MVR = Mitral Valve Replacement, IABP = Intra-aortic Balloon Pump

ISSN: 1471-2261