Table 3

Estimates of cost savings per patient managed on a chest pain observation unit

First authorCost saving per patientRandomised, contemporaneous, or historical controlsControls admitted or dischargedTime period costedCosting technique
*Mean cost saving.
†Median cost saving.
Kerns21$1873*ContemporaneousAll admittedIn-hospital onlyPatient charges
Hoekstra29$1160*ContemporaneousAll admittedIn-hospital onlyPatient charges (excluding physician charges)
$2030*ContemporaneousAll admittedIn-hospital onlyPatient charges (excluding physician charges)
Rodriguez30$1564*ContemporaneousAll admittedIn-hospital onlyMean hospital charge
Stomel28$1497ContemporaneousAll admittedIn-hospital onlyHospital financial data system costing
Mikhail26$1470*HistoricalAll admittedIn-hospital onlyHospital financial data system costing
Sayre31$1449*ContemporaneousAll admittedIn-hospital onlyEngineered standards
Gomez19$1165†HistoricalAll admittedIn-hospital + 30 day follow upCharges incurred on patients itemised account
$624†RandomisedAll admittedIn-hospital onlyCharges incurred on patients itemised account
Gaspoz20$698*ContemporaneousAdmitted + dischargedIn-hospital + 6 month follow upDetailed costing procedure
Roberts18$567*RandomisedAll admittedIn-hospital onlyDetailed costing procedure