Cost-Minimization Model
Mobile Cardiac Outpatient Telemetry Patch vs Implantable Loop Recorder Post Cryptogenic Stroke
This article highlights the cost benefits and predicted outcomes of using mobile cardiac outpatient telemetry (MCOT) as first-line monitoring post cryptogenic stroke followed by an implantable loop recorder (ILR), as compared to ILR monitoring alone.
The analysis demonstrates that an initial strategy of monitoring for 30 days with MCOT first post cryptogenic stroke can deliver significant costs-savings compared to monitoring with ILR only and improves AF detection rates while reducing the risk of secondary stroke.
The analysis demonstrates that an initial strategy of monitoring for 30 days with MCOT first post cryptogenic stroke can deliver significant costs-savings compared to monitoring with ILR only and improves AF detection rates while reducing the risk of secondary stroke.
Highlights:
- MCOT as a first-line diagnostic detected 4.6 times more patients with AF compared to ILR only
- MCOT followed by IRL resulted in almost 8 times lower costs compared to ILR alone, due to improved AF detection rates and reduction of secondary stroke risk
- Total cost per patient with detected AF was significantly lower in MCOT followed by ILR arm vs ILR only arm: $29,598 vs $228,507 respectively
This cost-minimization model demonstrates further support for the standard of care to be 30-day monitoring with MCOT post cryptogenic stroke before an ILR is implanted. The improved AF detection rates of MCOT followed by ILR reduces the likelihood of a secondary stroke due to new anticoagulant use, resulting in a significantly lower total cost of care.
DISCLAIMER: Costs and event rates are based on a cohort of 1,000 patients and a time horizon of 1 year.
POST-CYPOTGENIC STROKE PATHWAY
Early detection of post-stroke AF with comprehensive monitoring program
