Cardiac arrest & resuscitation
Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with out-of-hospital cardiac arrest
Main finding · Incremental cost-effectiveness ratioResult — go to the resultIncremental cost-effectiveness ratio 2926 £ per quality-adjusted life year gainedAuthors' 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 →