Unit Cost (source) | TAVI | SAVR |
---|---|---|
Standard Procedure (NHS tariff) | ||
Procedure | £16500.00 | £9256.00 |
Cardiology—ambulatory monitoring | £25.65 | £25.65 |
Vascular surgery—follow-up attendance—single professional | £120.00 | NA |
CT Angioaortic and peripheral | £148.14 | NA |
Transthoracic echo (ultrasound) | £27.64 | £27.64 |
Cardiology—ultrasound transoesophageal echo | £128.24 | £128.24 |
Cardiology—ECG | £33.00 | £33.00 |
Chest physiotherapy | £1641.00 | £1641.00 |
Cardiology follow-up attendance | £113.00 | £113.00 |
General ward bed day cost | £280.00 | £280.00 |
Intensive care unit bed day cost | £1360.00 | £1360.00 |
Complication unit costs (NHS Ref costs) | ||
Pacemaker implant | £2886.00 | £2886.00 |
TIA | £1252.00 | £1252.00 |
Minor stroke | £3479.00 | £3479.00 |
Major stroke | £3479.00 | £3479.00 |
Myocardial infarct | £2305.00 | £2305.00 |
Vascular complication | £3772.34 | £3772.34 |
Major bleed | £3772.00 | £3772.00 |
RR for kidney fail | £1421.00 | £1421.00 |
Endocarditis | £5261.00 | £5261.00 |
Repeat hospitalisation | £1359.00* | £1359.00* |
Cost of care per NYHA category (PSSRU) β | ||
Dead | £0.00 | £0.00 |
I | £55.00 | £55.00 |
II | £141.00 | £141.00 |
III | £223.00 | £223.00 |
IV | £626.00 | £626.00 |
Annual medication costs (BNF)β | ||
Clopidogrel for stroke, TIA and MI | £30.00 | £30.00 |
Secondary care anticoagulation services for AF | £649.00 | £649.00 |
β blockers for MI | £19.66 | £19.66 |
Simvastatin | £12.09 | £12.09 |
ACE inhibitors for MI | £14.75 | £14.75 |
*One night non-elective stay; β per person per annum.
BNF, British National Formulary28; NYHA, New York Heart Association; PSSRU, personal social services research unit29 (excludes accommodation); RR, renal replacement; SAVR, surgical aortic valve replacement; TIA, Transient ischaemic attack.