航空公司的自动外部除器的成本效益
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
概括
在商用飞机上安装自动外部除器 (AED) 是具有成本效益的,特别是在较大的飞机上. 这一策略符合医疗干预的传统标准,改善了心脏骤停生存率.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 紧急医疗 紧急医疗
背景情况:
- 自动外部除器 (AED) 提高了飞机上心脏骤停生存率.
- 飞机上AED的成本效益仍然没有被证明.
研究的目的:
- 分析美国商业航空旅行中各种AED部署选项的成本和有效性.
- 将AED策略与飞机上没有AED的基线进行比较.
主要方法:
- 决策和成本效益分析.
- 评估了AED完全和部分部署策略.
- 使用了医学文献,航空当局和患者队伍的数据.
主要成果:
- > 200名乘客的飞机上的AED每获得的质量调整寿命年 (QALY) 成本为35300美元.
- 在所有飞机上全面部署超过了每QALY94,700美元.
- 85%的模拟显示,大型飞机上的AED成本低于每QALY5万美元.
结论:
- 与公认的干预措施相比,AED在飞机上的成本效益是有利的.
- 有效性取决于飞机的乘客容量.
- 在大多数美国商用飞机上安装AED符合成本效益标准.
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