Title The CostEffectiveness of Automated External Defibrillators on U.S. Airlines Authors.pdf

Title: The Cost-Effectiveness of Automated External Defibrillators on U.S. Airlines Authors: 1) Peter W. Groeneveld, MD; 2) Jeanne L. Kwong, AB; 3) Yueyi Liu, MS; 4) Adam J. Rodriguez, BS; 5) Michael P. Jones, MBA; 6) Gillian D. Sanders, PhD; 7) Alan M. Garber, MD, PhD Institutional Affiliations: PWG, GDS, AMG: Center for Health Policy, Stanford University, Stanford, CA JLK, AJR: Graduate School of Business, Stanford University, Stanford, CA YL: Stanford Medical Informatics, Stanford University, Stanford, CA MPJ: Front Line Strategic Management Consulting, Foster City, CA AMG: VA Palo Alto Health Care System, Palo Alto, CA Site of Research: Center for Health Policy, Stanford University School of Medicine and the Graduate School of Business, Stanford University, Palo Alto, CA. Financial Support: PWG supported by Agency for Health Research and Quality training grant #HS00028-15. Correspondence: Peter W. Groeneveld, MD Center for Health Policy, 179 Encina Commons, MC 6019, Stanford, CA 94305-6019; phone (650) 723-1164; fax (650) 723-1919 Email: petegro@. Reprints: Peter W. Groeneveld, MD, Center for Health Policy, 179 Encina Commons, MC 6019, Stanford, CA 94305-6019; phone (650) 723-1164; fax (650) 723-1919 Word Count: 3305 ABSTRACT Objective: To examine the cost-effectiveness of deploying automated external defibrillators (AEDs) on U.S. passenger aircraft. Design: Decision and cost-effectiveness analysis. Estimates of the incidence of out-of-hospital cardiac arrest (OHCA) on board aircraft, effectiveness of AEDs in resuscitation, and medical costs and outcomes were derived from the medical literature. Equipment, maintenance, and flight attendant training costs were obtained from AED manufacturers, the Federal Aviation Administration, and the Air Transportation Association of America. Published estimates of health-related utility after OHCA were used to express effectiveness in qu