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Favourable cost-ben...
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Sund, Björn,1972-Örebro universitet,Handelshögskolan vid Örebro universitet
(författare)
Favourable cost-benefit in an early defibrillation programme using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest
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LIBRIS-ID:oai:DiVA.org:oru-12611
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-12611URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:vet swepub-contenttype
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Ämneskategori:ovr swepub-publicationtype
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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 evaluatethe 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, fire service call-outs, overhead resources and 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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Svensson, LeifDepartment of Cardiology, Karolinska Institute, South Hospital, Stockholm
(författare)
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Rosenqvist, MårtenDepartment of Cardiology, Karolinska Institute, South Hospital, Stockholm
(författare)
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Hollenberg, JacobDepartment of Cardiology, Karolinska Institute, South Hospital, Stockholm
(författare)
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Örebro universitetHandelshögskolan vid Örebro universitet
(creator_code:org_t)
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