Cost effectiveness and cost utility model of public place defibrillators in improving survival after prehospital cardiopulmonary arrest

Andrew Walker, Jane M Sirel, Andrew K Marsden, Stuart M Cobbe, Jill P Pell
Table 3

Cost effectiveness of other population based interventions for prehospital cardiopulmonary arrest

InterventionCost*/QALYEconomics methods: discount rate (%)
Reduction in response time of single tier EMS9£384 2525
Reduction in response time of two tier EMS (midpoint)9£110 6815
Change from one tier to two tier EMS (midpoint)9£69 9595
Other trained first responder (police)5£24 5343
Community CPR programmes10£213 939Discount rate and time horizon not clear
Automated external defibrillators on:
Large commercial aircraft (>200 passengers)11£26 1953
Medium and large commercial aircraft (>=100 passengers)11£56 4713
All commercial aircraft11£126 7453
  • QALY=quality adjusted life year, EMS=emergency medical service, CPR=cardiopulmonary resuscitation.

  • * £1=$1.56; includes allowance for inflation at 5% a year.

  • ‡ Costs after discharge not considered in any of these studies..