Acute cardiac care & resuscitation

Increasing cost-effectiveness of automated external defibrillators (AEDs) using algorithms to optimise location

ResuscitationPublished Cost-effectiveness analysis

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

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