Cardiac arrest & resuscitation
Pre-hospital ECPR cost analysis and cost effectiveness modelling study
Authors' conclusion
Initial cost analysis and modelling indicate PH-ECPR service strategies are likely to be cost effective and comparable to other medical interventions.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) patients; NSW Ambulance Cardiac Arrest Registry, Prehospital ECPR (PH-ECPR) trial, geospatial modelling and in-hospital costings data
- Comparison
- Pre-hospital ECPR strategies for OHCA
- Outcome
- Cost per QALY and Incremental Cost Effectiveness Ratios (ICERs) of PH-ECPR
Methodological detailsMarkov modelling, probabilistic sensitivity analysis
- Markov modelling
- Probabilistic sensitivity analysis
Main finding
As reported in the abstract
PH-ECPR cost (base case 100 patients/year, 25% team allocation to ECPR)
Average pre-hospital ECPR cost per patient
$12,741
Total cost (AUD)
$88,656
Cost per quality adjusted life years (QALY) (approximately)
$44,000
Further findings
Cost per QALY with 10% kidney organ donation rate
- Cost per QALY
- $22,000
- Conservative 10% donation rate
Determinants of cost effectiveness
- Patient survival rate, proportion of team time allocated to ECPR and organ donation significantly impact PH-ECPR cost effectiveness
Original publication
Pre-hospital ECPR cost analysis and cost effectiveness modelling study. Resuscitation. Published 3 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →