Acute cardiac care & resuscitation

Cost-Effectiveness of a Shock Team Approach in Refractory Cardiogenic Shock

Circ Heart FailPublished Cost-effectiveness analysis

Authors' conclusion

The Shock Team approach for treating refractory cardiogenic shock may be a cost-effective alternative to traditional standard of care.

Study context

Population
Patients with refractory cardiogenic shock at a tertiary academic hospital, 2009–2018
Participants
244 patients
Comparison
Shock Team vs standard of care
  • Shock Teamn = 123
  • Standard of caren = 121reference
Outcome
Costs and outcomes (survival at discharge, 1-year survival, QALYs gained); incremental cost-effectiveness ratios
Follow-up
1-year time horizon
Methodological detailssingle-centre, tertiary academic hospital, probabilistic sensitivity analysis (1000 Monte Carlo simulations)
  • Single-centre
  • Tertiary academic hospital
  • Probabilistic sensitivity analysis (1000 Monte Carlo simulations)

Main finding

As reported in the abstract

Incremental cost-effectiveness ratio, Shock Team vs standard of care

ICER per increase in survival probability at discharge

$102 088

ICER per increase in survival probability at 1 year

$96 152

ICER per 1 QALY gained

$127 862

Further findings

Survival at hospital discharge

P = 0.04

1-year survival

P = 0.03

Original publication

Cost-Effectiveness of a Shock Team Approach in Refractory Cardiogenic Shock. Circ Heart Fail. Published 18 October 2024. doi:10.1161/circheartfailure.124.011709

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