航空会社における自動外部除細動器の費用対効果について
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
まとめ
商用航空機に自動外部除細動器 (AED) を設置することは,特に大きな飛行機では,費用対効果が高くなります. この戦略は,医療介入の従来の基準を満たし,心停止の生存率を改善します.
科学分野:
- 公衆衛生は公衆衛生である.
- 健康経済学 医療経済学
- 緊急医療 緊急医療
背景:
- 自動外部除細動器 (AED) は,航空機での心停止の生存率を改善します.
- 飛行機でのAEDの費用対効果は未だ証明されていない.
研究 の 目的:
- 米国の商業航空旅行における様々なAED導入オプションのコストと有効性を分析する.
- AED戦略を航空機にAEDを搭載していないベースラインと比較する.
主な方法:
- 決定と費用対効果の分析.
- 評価された完全および部分AED導入戦略.
- 医療文献,航空当局,患者コホートからのデータを使用した.
主要な成果:
- 200人以上の乗客を乗せた航空機のAEDは,品質調整された寿命年 (QALY) につき35,300ドルの費用がかかります.
- すべての航空機での完全な展開は,QALY. per 94,700 ドルを超えました.
- シミュレーションの85%は,大型航空機のAEDのコストが1QALYあたり5万ドル未満であることを示しました.
結論:
- 航空機でのAEDの費用対効果は,受け入れられた介入と比較して有利です.
- 効率性は,航空機の乗客収容能力に依存しています.
- ほとんどの米国商用航空機にAEDを設置することは,費用対効果の基準と一致しています.
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