Abstract 305: ECPR Indication Criteria -From the Cost Effective Analysis in SAVE-J Study-
Background: Last year, we have reported extracorporeal cardiopulmonary resuscitation (ECPR) improves the outcome of out-of hospital cardiac arrest. (SAVE-J study)
Objectives: The aim is to determine the most effective indication criteria of ECPR.
Method: The registered cases of SAVE-J from December 2008 to September 2011 were evaluated for cost effective analysis. The age, time to arrival, 6months outcome and the hospitalization costs were evaluated. The Quality Adjusted Life Years (QALY) and costs were evaluated for accumulation of Incremental Cost-Effectiveness Ratios (ICER). Different age groups and time to hospital arrival were sorted to extract data, and cost effectiveness of each group was compared.
Result: The ICER of overall SAVE-J inclusion criteria was $85,800. By restricting to below the age of 50, the ICER was $54,800 and below the age of 40 was $38,300. With the sortation by arrival time, ICER was $64,100 within 25 minutes, and was $43,800 within 20 minutes.
Conclusion: In Japan, implementation of new treatment is said to be about $50,000~60,000 per QALY. From cost-effectiveness point of view, the inclusion criteria for ECPR are below the age of 50, or arrival time to hospital within 20 minutes seems reasonable.
- Extracorporeal circulation
- Cardiopulmonary resuscitation
- Cardiac arrest
- Quality of life
- © 2013 by American Heart Association, Inc.