The economic impact of sudden cardiac arrest.

摘要: Abstract Background There are 20,000 sudden cardiac arrests (SCAs) in Australia annually, with 90% case-fatality. Objective The present study calculated both the health and economic impact of SCAs Victoria, Australia. Methods Data on all attended by Ambulance Victoria from July 2017 to June 2018 were collected regarding age, gender, survival hospital, discharge 12 months. Pre-SCA employment status patients was modelled using age gender-matched Australian data. A Markov state-transition model a five-year horizon years life lived (YLL), productivity-adjusted (PALYs) gross domestic product (GDP) lost. counterfactual assessed outcomes an identical cohort who did not experience SCA. All values discounted 5%. Results In months, 4,637 people suffered whom 1516 (32.7%) working at time. 695 (15.0%) survived 325 (7.0%) discharge, 303 (6.5%) five following their SCA, lost 15,922 2,327 PALYs. Reduced productivity led GDP losses AUD$448 million (92.8% relative reduction). Extrapolated occurring across Australia, total approached AUD$2 billion. Conclusion burden is high, predominantly underpinned very high mortality. Annual national approach billion (USD$1.42 billion) comparable cancers combined. Prioritising research state-of-the-art care for SCA appears economically sound.