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Related Experiment Videos

Automatic implantable cardioverter defibrillator: cost effectiveness

R N Hauer1, E F Wever, H J Crijns

  • 1Department of Cardiology, Heart-Lung Institute, University Hospital, Utrecht, The Netherlands.

Pacing and Clinical Electrophysiology : PACE
|March 1, 1993
PubMed
Summary
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Early defibrillator implantation may be cost-effective for cardiac arrest survivors. This study prospectively compares early automatic implantable cardioverter defibrillator (AICD) implantation versus conventional therapy in post-infarct patients.

Area of Science:

  • Cardiology
  • Medical Economics

Background:

  • Out-of-hospital cardiac arrest, often ventricular fibrillation, necessitates treatment strategies.
  • Conventional therapy involves drugs, then non-pharmacological methods like ablation or defibrillator implantation, which is lengthy and costly.
  • Early defibrillator implantation could be cost-effective, particularly when drug treatment success is low.

Purpose of the Study:

  • To conduct a prospective cost-effectiveness analysis of early automatic implantable cardioverter defibrillator (AICD) implantation.
  • To compare early AICD implantation with conventional therapy in successfully resuscitated post-infarct patients.

Main Methods:

  • A randomized trial comparing early AICD implantation versus conventional treatment.
  • Evaluation includes medical, economic, and quality-of-life aspects.

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  • Study initiated in 1989, aiming for 60 patients, with 46 enrolled by June 1992.

    • Main Results:

    • Data collection ongoing, with results expected in 1993.
    • Cost-effectiveness ratios will be calculated for both study arms.

    Conclusions:

    • Prospective data on early AICD implantation cost-effectiveness is needed.
    • This study aims to provide crucial insights into optimizing cardiac arrest survivor treatment strategies.