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首页> 外文期刊>Prehospital emergency care >Cost-effectiveness analysis of a rural/urban first-responder defibrillation program.
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Cost-effectiveness analysis of a rural/urban first-responder defibrillation program.

机译：农村/城市急救除颤程序的成本效益分析。

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OBJECTIVE: To analyze the cost-effectiveness of a proposed first-responder defibrillation program in a small rural area in comparison with a recently initiated first-responder program in an adjoining urban center in southwestern Ontario. The purpose of the analysis was to quantify the expected benefits of the proposed program to determine whether the costs are justified. METHODS: This analysis was conducted on the city of Waterloo (population 80,000 over 25 square miles) and the adjoining rural township of Wellesley (population 8,000 over 105 square miles). The township has volunteer fire department first responders with basic life support (BLS), and basic life support/defibrillation (BLS-D) ambulances as the second tier; whereas the city's full-time fire department has recently adopted a first-responder defibrillation (BLS-D) program backed up by the same BLS-D ambulance service. The most relevant costs identified were the capital costs of the defibrillators, ancillary equipment, and biomedical service for preventive maintenance and routine nonwarranty work. Response intervals and percentage of patients found in ventricular fibrillation were projected and sensitivity analysis was applied. RESULTS: The projected cost per life saved is
机译：目的：与安大略省西南部毗邻的一个城市中心最近启动的急救程序相比，分析拟议的在农村小地区急救程序的成本效益。分析的目的是量化拟议计划的预期收益，以确定成本是否合理。方法：对滑铁卢市（25平方英里处有80,000人口）和毗邻的韦尔斯利农村乡镇（105平方英里处有8,000人口）进行了分析。乡镇有志愿消防部门的第一响应者，其基本生活支持（BLS）和基本生活支持/除颤（BLS-D）救护车为第二级;而该市的专职消防部门最近采用了由同一BLS-D救护车服务支持的急救除颤（BLS-D）计划。确定的最相关的成本是除颤器，辅助设备以及预防性维护和例行非保修工作的生物医学服务的资本成本。预测了反应间隔和在室颤中发现的患者百分比，并进行了敏感性分析。结果：挽救的每条生命的预计成本为

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