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  1. Cardiopulmonary resuscitation : What cost to cheat death ?

    Article - En anglais

    Objectives 

    To review the various outcomes from cardiopulmonary resuscitation (CPR), the factors that influence these outcomes, the costs associated with CPR, and the application of cost-analyses to CPR.

    Data Sources 

    Data used to prepare this article were drawn from published articles and work in progress.

    Study Selection 

    Articles were selected for their relevance to the subjects of CPR and cost-analysis by MEDLINE keyword search.

    Data Extraction 

    The authors extracted all applicable data from the English literature.

    Data Synthesis 

    Cost-analysis studies of CPR programs are limited by the high variation in resources consumed and attribution of cost to these resources.

    Furthermore, cost projections have not been adjusted to reflect patient-dependent variation in outcome.

    Variation in the patient's underlying condition, presenting cardiac rhythm, time to provision of definitive CPR, and effective perfusion all influence final outcome and, consequently, influence the cost-effectiveness of CPR programs.

    Based on cost data from previous studies, preliminary estimates of the cost-effectiveness of CPR programs for all 6-month survivors of a large international multicenter collaborative trial are $406,605.00 per life saved (range $344,314.00 to $966,759.00), and $225,892.00 per quality-adjusted-life-year (range $191,286.00 to $537,088.00). (...)

    Mots-clés Pascal : Arrêt cardiocirculatoire, Réanimation cardiocirculatoire, Article synthèse, Analyse coût, Pronostic, Homme, Economie santé, Appareil circulatoire pathologie, Soin intensif

    Mots-clés Pascal anglais : Cardiocirculatory arrest, Intensive cardiocirculatory care, Review, Cost analysis, Prognosis, Human, Health economy, Cardiovascular disease, Intensive care

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0080626

    Code Inist : 002B27B01. Création : 21/05/1997.