Scandinavian Working Papers in Economics

Working Papers,
Örebro University, School of Business

No 2010:13: Favourable cost-benefit in an early defibrillation program using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest

Björn Sund (), Leif Svensson , Mårten Rosenqvist and Jacob Hollenberg
Additional contact information
Björn Sund: Department of Business, Economics, Statistics and Informatics, Postal: Örebro University, Swedish Business School, SE - 701 82 ÖREBRO, Sweden
Leif Svensson: Department of Cardiology, Postal: Karolinska Institute, South Hospital, Stockholm, Sweden
Mårten Rosenqvist: Department of Cardiology, Postal: Karolinska Institute, South Hospital, Stockholm, Sweden
Jacob Hollenberg: Department of Cardiology, Postal: Karolinska Institute, South Hospital, Stockholm, Sweden

Abstract: Aims: Out-of-hospital cardiac arrest (OHCA) is fatal without treatment and time to defibrillation is an extremely important factor in relation to survival. We performed a cost-benefit analysis of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm, Sweden. Methods and Results: A cost-benefit analysis was performed to evaluate the effects of dual dispatch defibrillation. The increased survival rates were estimated from a real world implemented intervention and the monetary value of a life (€ 2.2 million) was applied to this benefit by using results from a recent stated-preference study. The estimated costs include defibrillators (including expendables/maintenance), training, hospitalisation/health care, call-outs for the fire services, overhead resources and costs for the dispatch centre. The estimated number of additional saved lives was 16 per year, yielding a benefit-cost ratio of 36. The cost per quality-adjusted life years (QALY) was estimated to be € 13 000 and the cost per saved life was € 60 000. Conclusions: The intervention of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm had positive economic effects. For the cost-benefit analysis the return on investment was high and the cost-effectiveness showed levels below the threshold value for economic efficiency used in Sweden. The cost-utility analysis categorises the cost per QALY as medium.

Keywords: Cost-benefit analysis; cost-utility analysis; cost-effectiveness analysis; cardiac arrest; defibrillation; ambulance; fire services

JEL-codes: D61; H43; I18

26 pages, October 19, 2010

Full text files

wp-13-2010.pdf PDF-file 

Download statistics

Questions (including download problems) about the papers in this series should be directed to ()
Report other problems with accessing this service to Sune Karlsson ().

This page generated on 2018-02-05 21:24:18.