Pmd52 - Yield and Costs of Point-of-Care Screening Test Versus Case Finding to Diagnose Celiac Disease in Pediatric Patients

Abstract

well as on the duration of use of anticoagulant and antiarrhythmic drugs and hospital stays. Carto Thermocool Smarttouch catheter; amiodarone, sotalol, propafenone; rivaroxaban, dabigatran and apixaban were the treatment approaches used for the cost analysis in this study. The cost analyses were made based on the perspective of the Social Security Institution in Turkey. RESULTS: The costs per AFib patient of drug therapy versus catheter ablation were as follows: antiarrhythmic drug (4.0088 TRY vs 112 TRY), function tests (1.194 TRY vs 0 TRY), physician visits (837 TRY vs 78 TRY), heart tests (4.918 TRY vs 683 TRY), anticoagulant drug (21.502 TRY vs 392 TRY), medical devices and procedures (0 TRY vs 14.615 TRY) and hospital stay (1.620 TRY vs 312 TRY). The number of threedimensional radio frequency catheter ablation procedures performed in Turkey in 2017 is 500. The total cost of AFib treatment for 500 patients was 17.079.30 TRY with drug therapy and 8.096.386 TRY with three-dimensional complex mapping catheter ablation. CONCLUSIONS: These results propose that catheter ablation requires less costly treatment than drug therapy for AFib patients in Turkey.