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Favourable cost-benefit in an early defibrillation program using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest

Listed author(s):
  • Sund, Björn


    (Department of Business, Economics, Statistics and Informatics)

  • Svensson, Leif

    (Department of Cardiology)

  • Rosenqvist, Mårten

    (Department of Cardiology)

  • Hollenberg, Jacob

    (Department of Cardiology)

Registered author(s):

    Aims: Out-of-hospital cardiac arrest (OHCA) is fatal without treatment and time to defibrillation is an extremely important factor in relation to survival. We performed a cost-benefit analysis of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm, Sweden. Methods and Results: A cost-benefit analysis was performed to evaluate the effects of dual dispatch defibrillation. The increased survival rates were estimated from a real world implemented intervention and the monetary value of a life (€ 2.2 million) was applied to this benefit by using results from a recent stated-preference study. The estimated costs include defibrillators (including expendables/maintenance), training, hospitalisation/health care, call-outs for the fire services, overhead resources and costs for the dispatch centre. The estimated number of additional saved lives was 16 per year, yielding a benefit-cost ratio of 36. The cost per quality-adjusted life years (QALY) was estimated to be € 13 000 and the cost per saved life was € 60 000. Conclusions: The intervention of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm had positive economic effects. For the cost-benefit analysis the return on investment was high and the cost-effectiveness showed levels below the threshold value for economic efficiency used in Sweden. The cost-utility analysis categorises the cost per QALY as medium.

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    Paper provided by Örebro University, School of Business in its series Working Papers with number 2010:13.

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    Length: 26 pages
    Date of creation: 19 Oct 2010
    Handle: RePEc:hhs:oruesi:2010_013
    Contact details of provider: Postal:
    Örebro University School of Business, SE - 701 82 ÖREBRO, Sweden

    Phone: 019-30 30 00
    Fax: 019-33 25 46
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