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Costo-efectividad de los desfibriladores externos automatizados en las aerolíneas
P W Groeneveld1, J L Kwong, Y Liu
1Center for Primary Care and Outcomes Research, 179 Encina Commons, MC 6019, Stanford, CA 94305, USA. petegro@healthpolicy.stanford.edu
JAMA
|September 27, 2001
Resumen
La instalación de desfibriladores externos automatizados (DEA) en aviones comerciales es rentable, especialmente en aviones más grandes. Esta estrategia cumple con los estándares convencionales para las intervenciones médicas, mejorando las tasas de supervivencia al paro cardíaco.
Área de la Ciencia:
- Salud Pública La salud pública.
- Economía de la salud Economía de la salud
- Medicina de emergencia Medicina de emergencia.
Sus antecedentes:
- Los desfibriladores externos automatizados (DEA) mejoran la supervivencia al paro cardíaco en las aeronaves.
- La rentabilidad de los DEA en los aviones sigue sin estar probada.
Objetivo del estudio:
- Analizar los costos y la efectividad de varias opciones de despliegue de AED en los viajes aéreos comerciales de los Estados Unidos.
- Para comparar las estrategias de DEA con una línea de base de ningún DEA en las aeronaves.
Principales métodos:
- Análisis de decisión y costo-efectividad.
- Estrategias evaluadas de despliegue completo y parcial de DEA.
- Se utilizaron datos de la literatura médica, las autoridades de aviación y las cohortes de pacientes.
Principales resultados:
- Los DEA en aviones con más de 200 pasajeros cuestan 35.300 dólares por año de vida ajustado por calidad (QALY) ganado.
- El despliegue completo en todas las aeronaves superó los $ 94,700 por QALY.
- El 85% de las simulaciones mostraron que los DEA en aviones grandes cuestan <$50.000 por QALY.
Conclusiones:
- La rentabilidad de los DEA en las aeronaves es favorable en comparación con las intervenciones aceptadas.
- La efectividad depende de la capacidad de pasajeros de la aeronave.
- La colocación de DEA en la mayoría de las aeronaves comerciales estadounidenses se alinea con los estándares de rentabilidad.
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