Cardiac arrest & resuscitation

Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with out-of-hospital cardiac arrest

ResuscitationPublished Cost-utility analysis

Main finding · Incremental cost-effectiveness ratioResult — go to the resultIncremental cost-effectiveness ratio 2926 £ per quality-adjusted life year gained

Authors' conclusion

Selective rhythm-based transfer to specialist cardiac arrest centres improved resource efficiency with minimal additional cost.

Study context

Population
Patients with OHCA in a large regional population (model inputs from an observational pilot study)
Comparison
BCIS conveyance algorithm vs standard of care
Outcome
Cost-effectiveness (incremental cost-effectiveness ratio and net monetary benefit; outcomes in quality-adjusted life years, costs discounted at 3.5%/year)
Follow-up
Lifetime horizon
Methodological detailshybrid decision-analytic model (decision tree and Markov model), lifetime horizon, probabilistic analysis
  • Hybrid decision-analytic model (decision tree and Markov model)
  • Lifetime horizon
  • Probabilistic analysis

Main finding

Incremental cost-effectiveness ratio

Incremental cost-effectiveness ratio

2926 £ per quality-adjusted life year gained

As reported in the abstract

Further findings

Probability of cost-effectiveness (probabilistic analysis)

Probability of cost-effectiveness at willingness-to-pay threshold of £35,000 per quality-adjusted life year
86.0%

Cost components

Lower ICU, hospital ward, post-assessment and ambulance costs, partially offset by slightly higher admission, neuroprognostication and longer-term care costs

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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