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Cost-effectiveness of workplace wellness to prevent cardiovascular events among U.S. firefighters

P Daniel Patterson1, Kenneth J Smith2, David Hostler3

  • 1Department of Emergency Medicine, University of Pittsburgh School of Medicine, 3600 Forbes Avenue, Iroquois Bldg., Suite 400A, Pittsburgh, PA, 15261, USA. pattersonpd@upmc.edu.

BMC Cardiovascular Disorders
|November 23, 2016
PubMed

Insights

A wellness-fitness program is a cost-effective strategy for preventing cardiovascular events (CVEs) in firefighters. This approach proved more economical than real-time physiologic monitoring or no intervention.

Area of Science:

  • Occupational Health
  • Cardiovascular Research
  • Health Economics

Background:

  • Cardiovascular events (CVEs) are the primary cause of death for U.S. firefighters.
  • This study evaluates strategies to mitigate CVEs in this high-risk population.

Purpose of the Study:

  • To compare the cost-effectiveness of three distinct strategies for preventing CVEs among firefighters.
  • To identify the most economically viable approach for reducing firefighter mortality from cardiovascular causes.

Main Methods:

  • A cost-effectiveness analysis model was employed, utilizing existing observational and clinical data.
  • Cost quotes for physiological monitoring devices were incorporated.
  • Analyses were conducted from the perspective of fire department administrators, with sensitivity analyses performed.

Main Results:

  • A wellness-fitness program demonstrated a 10% reduction in CVEs over 10 years, with an incremental cost-effectiveness ratio of $1.44 million per CVE prevented.
  • Physiologic monitoring was cost-effective only if annual costs were below $116.
  • Wellness-fitness programs remained favorable unless their preventive relative risk exceeded 0.928.

Conclusions:

  • Wellness-fitness programs present a potentially cost-effective solution for preventing CVEs in firefighters.
  • These programs appear more favorable than real-time physiologic monitoring or inaction.
Abstract

Keywords:
Cardiovascular eventsCost-EffectivenessPhysical fitnessWellness

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