2,297
Views
2
CrossRef citations to date
0
Altmetric
Cardiovascular

Improved hospital discharge and cost savings with esophageal cooling during left atrial ablation

ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon show all
Pages 158-167 | Received 10 Nov 2022, Accepted 16 Dec 2022, Published online: 23 Jan 2023

Figures & data

Figure 1. Active esophageal cooling device (with permission, Attune Medical, Chicago, IL).

Figure 1. Active esophageal cooling device (with permission, Attune Medical, Chicago, IL).

Figure 2. Process map of activities and patient path in the pulmonary vein isolation (PVI) procedure care cycle.

Figure 2. Process map of activities and patient path in the pulmonary vein isolation (PVI) procedure care cycle.

Table 1. Staff costs, including fringe benefits, adjusted to 2022 dollars using the medical component of the consumer price index (CPI).Citation46

Table 2. Consumables costs in 2022 dollarsCitation33,Citation34.

Table 3. Space costs in 2022 dollarsCitation35.

Table 4. Capital equipment costs, adjusted to 2022 dollars using the medical component of the consumer price index (CPI)Citation34,Citation46.

Figure 3. Procedural time differences reported for luminal esophageal temperature (LET) monitoring and active esophageal coolingCitation15. Abbreviation: RF, radiofrequency.

Figure 3. Procedural time differences reported for luminal esophageal temperature (LET) monitoring and active esophageal coolingCitation15. Abbreviation: RF, radiofrequency.

Figure 4. Lab occupancy for luminal esophageal temperature (LET) monitoring compared to active esophageal cooling. Abbreviation: RF, radiofrequency.

Figure 4. Lab occupancy for luminal esophageal temperature (LET) monitoring compared to active esophageal cooling. Abbreviation: RF, radiofrequency.

Figure 5. Costs for the staff involved in ablation procedures. Abbreviations: RF, radiofrequency; RN, Registered Nurse; EP, electrophysiologist.

Figure 5. Costs for the staff involved in ablation procedures. Abbreviations: RF, radiofrequency; RN, Registered Nurse; EP, electrophysiologist.

Figure 6. Daily costs for staff, consumables, capital equipment, and laboratory space. Abbreviations: RF, radiofrequency; RN, Registered Nurse; EP, electrophysiologist.

Figure 6. Daily costs for staff, consumables, capital equipment, and laboratory space. Abbreviations: RF, radiofrequency; RN, Registered Nurse; EP, electrophysiologist.

Figure 7. Cost and profit per procedure estimates using LET monitoring (with single and multi-sensor temperature probes) compared to using active esophageal cooling. Abbreviation: LET, luminal esophageal temperature.

Figure 7. Cost and profit per procedure estimates using LET monitoring (with single and multi-sensor temperature probes) compared to using active esophageal cooling. Abbreviation: LET, luminal esophageal temperature.

Figure 8. Total costs and net profit per procedure after including savings from same-day discharge. Abbreviation: LET, luminal esophageal temperature.

Figure 8. Total costs and net profit per procedure after including savings from same-day discharge. Abbreviation: LET, luminal esophageal temperature.