Cost-effectiveness analysis of paramedic emergency medical services in the treatment of prehospital cardiopulmonary arrest

Annals of Emergency Medicine
T D ValenzuelaL Clark

Abstract

1) Identification of marginal costs associated with prehospital resuscitation of cardiopulmonary arrest; 2) Determination of cost effectiveness for such resuscitation; and 3) Comparison of cost effectiveness of paramedic care with selected other medical interventions. Retrospective review of 190 cases of out-of-hospital cardiac arrest. City limits of a midsized southwestern city. The events studied took place outside of medical facilities. Victims of out-of-hospital cardiac arrest for whom the EMS system was activated by a 911 telephone request for emergency medical assistance. The cost, including training, personnel, equipment, and response time maintenance, per year of life saved was found to be $8,886.00 for paramedic care. This result was compared with published cost-effectiveness figures for heart transplantation, liver transplantation, bone marrow transplantation, and chemotherapy for acute leukemia. Paramedic care was more cost effective, as measured by cost per year of life saved, than organ transplantation and chemotherapy for acute leukemia. Out-of-hospital treatment by paramedics of cardiopulmonary arrest is more cost effective than heart, liver, bone marrow transplantation, or curative chemotherapy for acute leukemia.

References

Feb 1, 1990·Annals of Emergency Medicine·M S EisenbergT R Hearne
Nov 24, 1989·JAMA : the Journal of the American Medical Association·J M Eisenberg
Oct 1, 1987·The Journal of the American Dental Association
Sep 1, 1984·Annals of Emergency Medicine·W B CarterS Schaeffer
Jun 19, 1980·The New England Journal of Medicine·M S EisenbergL A Cobb

❮ Previous
Next ❯

Citations

Dec 4, 2003·International Journal of Medical Informatics·Syi Su, Chung-Liang Shih
Dec 13, 2002·Emergency Medicine Clinics of North America·Theodore R Delbridge
Mar 25, 2000·Journal of the American College of Cardiology·G A Ewy, J P Ornato
Dec 1, 1996·Critical Care Medicine·K H LeeN S Abramson
Dec 3, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S J SocranskyJ M Rubin
Oct 8, 1997·Journal of Accident & Emergency Medicine·T H RainerS Cusack
Dec 23, 2006·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Zui-Shen YenFang-Yue Lin
Mar 9, 2013·Resuscitation·Tatsuma FukudaNaoki Yahagi
Jul 14, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Robert SworScott Compton
Nov 1, 1995·Annals of Emergency Medicine·R L LammersT Utecht
Aug 1, 1995·Annals of Emergency Medicine·D W SpaiteJ Guisto
Dec 13, 2002·Emergency Medicine Clinics of North America·Alok MaheshwariRanjan K Thakur
Sep 6, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Robert SilbergleitRichard Silbergleit
Feb 11, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Andrew J BoulandMatthew J Levy
Aug 17, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael G MillinAlisa Malki
Mar 16, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael D April, Brian P Murray
Nov 5, 1997·Annals of Emergency Medicine·P A GearhartA R Localio
Sep 16, 1998·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·T R DelbridgeE M Wilson
Dec 9, 1992·Prehospital and Disaster Medicine·K L Koenig, G W Tamkin
Jan 14, 2000·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·B D Jermyn
Jan 28, 1999·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·B D Jermyn
Oct 8, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Nancy K GloberDavid Kim

❮ Previous
Next ❯

Related Concepts