ArticleJournal of general internal medicine2005
Cost-effectiveness of in-home automated external defibrillators for individuals at increased risk of sudden cardiac death.
Article in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 31 citations in OpenAlex.
- Optimizing automated external defibrillator deployment within the walking golden window for out-of-hospital cardiac arrest cases: a case study from a Chinese city.Frontiers in public health · 2025Observational
- A systematic review of cost-effectiveness of treating out of hospital cardiac arrest and the implications for resource-limited health systems.International journal of emergency medicine · 2024Review
- A Systematic Review of Cost-Effectiveness of Treating Out of Hospital Cardiac Arrest: Implications for Resource-limited Health Systems.Research square · 2024Article
- Are there disparities in the location of automated external defibrillators in England?Resuscitation · 2022Article
- Estimation of Health and Economic Benefits of a Small Automatic External Defibrillator for Rapid Treatment of Sudden Cardiac Arrest (SMART): A Cost-Effectiveness Analysis.Frontiers in cardiovascular medicine · 2022Article
- Cost-Effectiveness of Implantable Cardioverter-Defibrillators in Children with Cardiac Conditions Associated with Risk for Sudden Cardiac Death.Pediatric cardiology · 2020Article
- Effective deployment of public-access automated external defibrillators to improve out-of-hospital cardiac arrest outcomes.Journal of general and family medicine · 2017Review
- Role of wearable and automatic external defibrillators in improving survival in patients at risk for sudden cardiac death.Current treatment options in cardiovascular medicine · 2009Article
- Use of automated external defibrillators in cardiac arrest: an evidence-based analysis.Ontario health technology assessment series · 2005Article
- The Case for Drone-assisted Emergency Response to Cardiac Arrest: An Optimized Statewide Deployment Approach.North Carolina medical journalArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectiveIn-home automated external defibrillators (AEDs) are increasingly recommended as a means for improving survival of cardiac arrests that occur at home. The current study was conducted to explore the relationship between individuals' risk of cardiac arrest and cost-effectiveness of in-home AED deployment.
designMarkov decision model employing a societal perspective. PATIENTS: Four hypothetical cohorts of American adults 60 years of age at progressively greater risk for sudden cardiac death (SCD): 1) all adults (annual probability of SCD 0.4%); 2) adults with multiple SCD risk factors (probability 2%); 3) adults with previous myocardial infarction (probability 4%); and 4) adults with ischemic cardiomyopathy unable to receive an implantable defibrillator (probability 6%).
interventionStrategy 1: individuals suffering an in-home cardiac arrest were treated with emergency medical services equipped with AEDs (EMS-D). Strategy 2: individuals suffering an in-home cardiac arrest received initial treatment with an in-home AED, followed by EMS.
resultsAssuming cardiac arrest survival rates of 15% with EMS-D and 30% with AEDs, the cost per quality-adjusted life-year gained (QALY) of providing in-home AEDs to all adults 60 years of age is 216,000 dollars. Costs of providing in-home AEDs to adults with multiple risk factors (2% probability of SCD), previous myocardial infarction (4% probability), and ischemic cardiomyopathy (6% probability) are 132,000 dollars, 104,000 dollars, and 88,000 dollars, respectively.
conclusionsThe cost-effectiveness of in-home AEDs is intimately linked to individuals' risk of SCD. However, providing in-home AEDs to all adults over age 60 appears relatively expensive.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.