Cost-Effectiveness of Lay Responder Defibrillation for Out-of-Hospital Cardiac Arrest

Nichol, Graham; Huszti, Ella; Birnbaum, Alice; Mahoney, Brian D.; Weisfeldt, Myron L.; Travers, Andrew H.; Christenson, Jim; Kuntz, Karen M.

doi:10.1016/j.annemergmed.2009.01.021

Cited by 70 publications

(52 citation statements)

References 37 publications

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“…Multiple cost-effectiveness studies have been published, and all provide data that PAD programs are cost-effective. 9,18,19 The cost per quality-adjusted life-year has typically been calculated to range from $30 000 to $100 000, figures that are within the acceptable range for many medical therapies; however, these estimates are highly dependent on assumptions made in the analysis. Effectiveness of the therapy, estimated frequency of use, location of cardiac arrest, costs of program maintenance and training, and duration and cost of follow-up therapy can dramatically affect these figures.…”

Section: Articles See Pp 510 and 518mentioning

confidence: 99%

Public Access Defibrillation

Atkins

2009

Circulation

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Section: Articles See Pp 510 and 518mentioning

confidence: 99%

Public Access Defibrillation

Atkins

2009

Circulation

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“…(35)(36)(37) Rapid fi rst response programmes where AEDs are readily available have reported high survival rates of 49%-74%. (38) However, it has been noted that in Singapore, 70% of OHCA happens in the home.…”

Section: Recommendations For Aed Sitingmentioning

confidence: 99%

Singapore Defibrillation Guidelines 2016

Lee

Anantharaman

Lim

et al. 2017

smedj

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The most common initial rhythm in a sudden cardiac arrest is ventricular fi brillation or pulseless ventricular tachycardia. This is potentially treatable with defi brillation, especially if provided early. However, any delay in defi brillation will result in a decline in survival. Defi brillation requires coordination with the cardiopulmonary resuscitation component for effective resuscitation. These two components, which form the key links in the chain of survival, have to be brought to the cardiac victim in a timely fashion. An effective chain of survival is needed in both the institution and community settings.

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“…In most instances, school-based PAD does not appear to be cost-effective by traditional terms. 52,53 However, the decision may incorporate legal, emotional, and personal considerations that support a school-based or other type of PAD program. 54 Early defibrillation can provide profound survival benefit and should remain at the forefront of community efforts even as the field of resuscitation improves its understanding and refines its approach to other links.…”

Section: Early Defibrillationmentioning

confidence: 99%