Acute cardiac care & resuscitation
Comparative cost-effectiveness of termination of resuscitation rules for patients transported in cardiac arrest
Authors' conclusion
The KOC 2 rule is the most cost-effective at established cost-effectiveness thresholds used to inform health care decision-making in the UK.
Study context
- Population
- Patients transported in cardiac arrest (OHCA)29 of 33 termination-of-resuscitation (TOR) rules assessed
- Comparison
- Alternative TOR rules vs current practice
- Outcome
- Cost-effectiveness (ICER; discounted NHS and PSS costs and quality-adjusted life-years (QALYs))
- Follow-up
- Lifetime horizon
Methodological detailssystematic review, lifetime horizon, National Health Service (NHS) and personal social services (PSS) perspective
- Systematic review
- Lifetime horizon
- NHS and PSS perspective
Pooled result
As reported in the abstract
ICER of most cost-effective strategies
European Resuscitation Council (ERC)
£8,111
ICER
KOC 2
£17,548
ICER
Universal Basic Life Support (BLS)
£19,498,216
ICER
Original publication
Comparative cost-effectiveness of termination of resuscitation rules for patients transported in cardiac arrest. Resuscitation. Published 13 June 2024. doi:10. 1016/ j. resuscitation. 2024. 110274
Summarised from the published abstract; every number is checked against it