Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland
Jerzy Jaskuła,1 Goran Medic,2 Sanjay Verma,2 Joachim Maurer,3 Tom A Kooy,4 Bianca de Greef2 1Department of Medical Education, Centre for Innovative Medical Education, Jagiellonian University Medical College, Krakow, Poland; 2Chief Medical Office – Health Economics and Outcome Research...
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Dove Medical Press
2025-05-01
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| Series: | ClinicoEconomics and Outcomes Research |
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| author | Jaskuła J Medic G Verma S Maurer J Kooy TA Greef BD |
| author_facet | Jaskuła J Medic G Verma S Maurer J Kooy TA Greef BD |
| author_sort | Jaskuła J |
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| description | Jerzy Jaskuła,1 Goran Medic,2 Sanjay Verma,2 Joachim Maurer,3 Tom A Kooy,4 Bianca de Greef2 1Department of Medical Education, Centre for Innovative Medical Education, Jagiellonian University Medical College, Krakow, Poland; 2Chief Medical Office – Health Economics and Outcome Research, Philips, Amsterdam, Netherlands; 3Connected Care – Emergency Care, Philips, Amsterdam, Netherlands; 4Research Department, Stan BV, Udenhout, NetherlandsCorrespondence: Goran Medic, Email goran.medic@philips.comObjective: Out-of-Hospital Cardiac Arrest (OHCA) is a significant public health issue in Poland, with only an 8.4% survival rate to hospital discharge. Early initiation of Basic Life Support and defibrillation through a Community First Responder (CFR) system can markedly improve survival rates and neurological outcomes.Methods: A decision tree and Markov model compared the cost-effectiveness of three scenarios against standard care by estimating costs and quality-adjusted life years (QALYs). Scenario 1 involved raising public awareness and educating on the 30:2 CPR protocol. Scenario 2 added equipping blue-light service vehicles with Automated External Defibrillators (AEDs) and training personnel. Scenario 3 implemented a full CFR system with integrated AEDs, dispatch centers, and trained citizen responders. The analysis included survival to hospital discharge, with sensitivity analyses assessing robustness.Results: The incremental cost-effectiveness ratios (ICERs) were € 15,221 for Scenario 1, € 30,659 for Scenario 2, and € 16,205 for Scenario 3 per QALY gained—all below the threshold of € 50,197. Improvements were observed in all stages, including survival to hospital discharge and neurologically intact survival. Probabilistic sensitivity analyses confirmed the robustness of the results.Conclusion: Implementing a CFR system in Poland is a cost-effective strategy that enhances survival rates after OHCA at an acceptable cost per QALY. The study emphasizes the importance of AED accessibility, trained CFRs, and streamlined emergency responses to improve survival and quality of life for OHCA patients. These findings support policy development and resource allocation to strengthen Poland’s emergency medical response to OHCA.Keywords: out-of-hospital cardiac arrest, community first responder, automated external defibrillator, cost-effectiveness, defibrillation |
| format | Article |
| id | doaj-art-cd7eccc67d6341b6926e9ccb31bca34a |
| institution | Kabale University |
| issn | 1178-6981 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Dove Medical Press |
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| series | ClinicoEconomics and Outcomes Research |
| spelling | doaj-art-cd7eccc67d6341b6926e9ccb31bca34a2025-08-20T03:53:11ZengDove Medical PressClinicoEconomics and Outcomes Research1178-69812025-05-01Volume 17Issue 1375386102613Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in PolandJaskuła J0Medic G1Verma S2Maurer J3Kooy TA4Greef BD5Department of Medical EducationChief Medical OfficeChief Medical OfficeConnected Care – Emergency CareResearch DepartmentChief Medical OfficeJerzy Jaskuła,1 Goran Medic,2 Sanjay Verma,2 Joachim Maurer,3 Tom A Kooy,4 Bianca de Greef2 1Department of Medical Education, Centre for Innovative Medical Education, Jagiellonian University Medical College, Krakow, Poland; 2Chief Medical Office – Health Economics and Outcome Research, Philips, Amsterdam, Netherlands; 3Connected Care – Emergency Care, Philips, Amsterdam, Netherlands; 4Research Department, Stan BV, Udenhout, NetherlandsCorrespondence: Goran Medic, Email goran.medic@philips.comObjective: Out-of-Hospital Cardiac Arrest (OHCA) is a significant public health issue in Poland, with only an 8.4% survival rate to hospital discharge. Early initiation of Basic Life Support and defibrillation through a Community First Responder (CFR) system can markedly improve survival rates and neurological outcomes.Methods: A decision tree and Markov model compared the cost-effectiveness of three scenarios against standard care by estimating costs and quality-adjusted life years (QALYs). Scenario 1 involved raising public awareness and educating on the 30:2 CPR protocol. Scenario 2 added equipping blue-light service vehicles with Automated External Defibrillators (AEDs) and training personnel. Scenario 3 implemented a full CFR system with integrated AEDs, dispatch centers, and trained citizen responders. The analysis included survival to hospital discharge, with sensitivity analyses assessing robustness.Results: The incremental cost-effectiveness ratios (ICERs) were € 15,221 for Scenario 1, € 30,659 for Scenario 2, and € 16,205 for Scenario 3 per QALY gained—all below the threshold of € 50,197. Improvements were observed in all stages, including survival to hospital discharge and neurologically intact survival. Probabilistic sensitivity analyses confirmed the robustness of the results.Conclusion: Implementing a CFR system in Poland is a cost-effective strategy that enhances survival rates after OHCA at an acceptable cost per QALY. The study emphasizes the importance of AED accessibility, trained CFRs, and streamlined emergency responses to improve survival and quality of life for OHCA patients. These findings support policy development and resource allocation to strengthen Poland’s emergency medical response to OHCA.Keywords: out-of-hospital cardiac arrest, community first responder, automated external defibrillator, cost-effectiveness, defibrillationhttps://www.dovepress.com/cost-effectiveness-of-a-community-first-responder-system-for-out-of-ho-peer-reviewed-fulltext-article-CEOROut-of-Hospital Cardiac ArrestCommunity First ResponderAutomated External Defibrillatorcost-effectivenessdefibrillation |
| spellingShingle | Jaskuła J Medic G Verma S Maurer J Kooy TA Greef BD Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland ClinicoEconomics and Outcomes Research Out-of-Hospital Cardiac Arrest Community First Responder Automated External Defibrillator cost-effectiveness defibrillation |
| title | Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland |
| title_full | Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland |
| title_fullStr | Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland |
| title_full_unstemmed | Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland |
| title_short | Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland |
| title_sort | cost effectiveness of a community first responder system for out of hospital cardiac arrest in poland |
| topic | Out-of-Hospital Cardiac Arrest Community First Responder Automated External Defibrillator cost-effectiveness defibrillation |
| url | https://www.dovepress.com/cost-effectiveness-of-a-community-first-responder-system-for-out-of-ho-peer-reviewed-fulltext-article-CEOR |
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