Acute cardiac care & resuscitation

Comparative cost-effectiveness of termination of resuscitation rules for patients transported in cardiac arrest

ResuscitationPublished Cost-effectiveness analysis

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

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