Cardiopulmonary resuscitation: what cost to cheat death?

K H Lee1, D C Angus, N S Abramson

  • 1Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, PA 15213, USA.

Critical Care Medicine
|December 1, 1996
PubMed

Insights

Cardiopulmonary resuscitation (CPR) outcomes vary widely, influenced by patient factors and treatment. While CPR can be life-saving, its widespread application is very expensive, with high costs per life saved or quality-adjusted life-year.

Area of Science:

  • Health Economics
  • Emergency Medicine
  • Critical Care

Background:

  • Outcomes of cardiopulmonary resuscitation (CPR) are highly variable.
  • Factors influencing CPR success include patient condition, cardiac rhythm, and timeliness of intervention.
  • Cost-analysis of CPR programs is complex due to resource variation and patient-specific outcomes.

Purpose of the Study:

  • To review CPR outcomes, influencing factors, associated costs, and cost-analysis applications.
  • To evaluate the cost-effectiveness of CPR programs.

Main Methods:

  • Systematic review of published literature and ongoing research.
  • MEDLINE keyword searches for CPR and cost-analysis relevance.
  • Extraction of applicable data from English-language publications.

Main Results:

  • Cost-effectiveness estimates for CPR programs range from $344,314 to $966,759 per life saved.
  • Quality-adjusted life-year costs range from $191,286 to $537,088.
  • CPR outcomes range from full recovery to 100% mortality.

Conclusions:

  • Appropriate CPR is recommended, but its broad implementation is costly.
  • Patient-specific factors significantly impact CPR cost-effectiveness.
  • Further research is needed to optimize CPR resource allocation.
Abstract

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