Acute cardiac care & resuscitation
Increasing cost-effectiveness of automated external defibrillators (AEDs) using algorithms to optimise location
Authors' conclusion
Our study identified cost-effective strategies to position AEDs at strategic locations in a VRS.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) victims in a volunteer responder system, Amsterdam, the NetherlandsOHCA data 2006–2018
- Comparison
- Additional strategically placed AEDs vs current practice
- Outcome
- ICER (€/QALY) for each increase in additional AEDs
Methodological detailssimulation modelling study, societal perspective, case study of Amsterdam, the Netherlands
- Simulation modelling study
- Societal perspective
- Case study of Amsterdam, the Netherlands
Main finding
As reported in the abstract
Cost-effectiveness of additional AEDs (WTP threshold €80,000/QALY)
QALY gain
0.111 QALYs
95% CI 0.110–0.112
1120 additional AEDs
Increased cost per OHCA
€3792
95% CI €3778-€3807
1120 additional AEDs
- Up to 1120 additional AEDs cost-effective at €80,000/QALY when positioned strategically (ICER)
- €75,669/QALY
Original publication
Increasing cost-effectiveness of AEDs using algorithms to optimise location. Resuscitation. Published 2 July 2024. doi:10. 1016/ j. resuscitation. 2024. 110300
Summarised from the published abstract; every number is checked against it