Abstract 180: Consultation to a Cardiologist Prior to Low Risk Procedures Generates Excessive Testing and Cost Without Affecting Outcomes in Patients with Stable Ischemic Heart Disease

Background: The healthcare system in the United States is often times costly and inefficient. Some estimates suggest that 20-34% of healthcare dollars are spent ineffectively. Despite efforts such as the Choosing Wisely Campaign to limit preoperative testing prior to low risk surgery, preoperative cardiac testing before low risk procedures remains common. This study assesses the frequency, outcomes, and costs associated with inpatient preoperative cardiology consultation prior to low risk inpatient procedures. Methods: 1,284 consecutive patients underwent inpatient endoscopy or colonoscopy between November 1, 2011 and April 31, 2016 at a single academic tertiary referral center. 79 patients (6.2%) underwent preoperative consultation with a board certified cardiologist. 158 patients who did not undergo inpatient cardiology consultation prior to the procedure were matched to cases by age and gender in a 2:1 ratio. Retrospective chart review of clinical, demographic and economic variables was performed. Char...