Acute cardiac care & resuscitationResearch article
Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with out-of-hospital cardiac arrest
- Cost-utility analysis
- hybrid decision-analytic model, combining a decision tree and Markov model
- lifetime horizon
- costs discounted at an annual rate of 3.5%
Authors' conclusion
Selective rhythm-based transfer to specialist cardiac arrest centres improved resource efficiency with minimal additional cost. Although clinical outcome differences remain exploratory due to observational data, this economic evaluation supports further prospective, multi-centre evaluation to confirm broader clinical and health system benefits.
Study context
- Population
- Patients with out-of-hospital cardiac arrest in a large regional population
- Comparison
- The algorithm compared with standard of care over a lifetime horizon
Main finding
As reported in the abstract
Incremental cost-effectiveness ratio · lifetime horizon
ICER per quality-adjusted life year gained
£2926
Further findings
Probability of cost-effectiveness (probabilistic analysis)
- Probability of cost-effectiveness at a willingness-to-pay threshold of £35,000 per quality-adjusted life year
- 86.0%
Original publication
Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with out-of-hospital cardiac arrest. Resuscitation. Published 18 February 2026. doi:10.1016/j.resuscitation.2026.111021
Summarised from the published abstract; every number is checked against it