TY -的T1 -每个中风预防的成本(CPSP)症状性颈动脉狭窄在安大略省,加拿大(S51.006) JF -神经学乔-神经学六世- 82 - 10补充SP - S51.006 AU -大卫Turkel-Parrella盟Airton de Olivei首页ra Manoel盟——托马斯·马洛塔盟——朱利安·斯皮尔斯Y1 - 2014/04/08 UR - //www.ez-admanager.com/content/82/10_Supplement/S51.006.abstract N2 -背景:北美指南建议颈动脉重建术对颈动脉疾病症状在2周内索引的事件。最近的文献表明,等待时间颈动脉血管再生是安大略省高得令人无法接受的平均等待时间30 - 79天。颈动脉血管再生的效果最大,如果在2周内完成,此后急剧下降。我们试图研究金融相关成本增加颈动脉血管再生的等待时间。设计/方法:使用的医疗福利计划安大略省和商业供应商价格成本的颈动脉血管成形术和支架植入(CAS)估计8357美元(CAD)。假设平价中科院与开放手术预防中风,我们创建了一个数学模型来模拟连续100的成本,虚拟ca程序(835760美元)。每个中风预防的成本(CPSP)基于number-needed-to-treat(例数十分),以防止1侧中风在5年相关血管再生的时间计算。结果:CPSP如果所有100个虚拟患者推荐的2周时间内治疗(NNT-3)被计算为25326美元,代表33预防中风。CPSP如果所有患者治疗2 - 4周内(NNT-6) 49162美元代表17预防中风。CPSP如果所有患者治疗1 - 3个月内(NNT-9) 75978美元代表11预防中风。 Treatment >3 months (NNT-11) yielded a CPSP of $92,862 representing 9 prevented strokes. CONCLUSIONS: The CPSP if done within the recommended time-frame for our virtual population would be $25,326. Recent data from Ontario demonstrates that between 8-36% of carotid artery revascularizations occur within the suggested timeframe. Most carotid artery revascularizations in Ontario have a CPSP of $75,978 (median time for revascularization is between 1-3 months). This represents a clear inefficiency in the system. Further research and government wide initiatives could be aimed at increasing the awareness of the CPSP in order to facilitate policy makers and other stakeholders to develop pathways to ensure prompt treatment.Disclosure: Dr. Turkel-Parrella has nothing to disclose. Dr. de Oliveira Manoel has nothing to disclose. Dr. Marotta has received royalty, license fee, or contractual rights payments as owner and inventor of eClips. Dr. Spears has nothing to disclose.Thursday, May 1 2014, 1:00 pm-2:45 pm ER -