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Effect of response times on survival from out-of-hospital cardiac arrest: using geographic information systems

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  • Sund, Björn

    (Dept. of Economics)

Abstract

We explored how different response times from out-of-hospital cardiac arrest (OHCA) to defibrillation in the County of Stockholm, Sweden, affect patients’ survival rates. This was done by combining a geographic information systems (GIS) simulation of driving times with register data on survival rates. The emergency resources comprised ambulance alone and ambulance plus fire services. The simulation model predicted a baseline survival rate of 3.9 percent, and reducing the ambulance response time by one minute increased survival to 4.6 percent. Adding the fire services as first responders (dual dispatch) increased survival to 6.2 percent from the baseline level. The model predictions were vali-dated using empirical data.

Suggested Citation

  • Sund, Björn, 2012. "Effect of response times on survival from out-of-hospital cardiac arrest: using geographic information systems," Karlstad University Working Papers in Economics 4, Karlstad University, Department of Economics.
    • Handle: RePEc:hhs:kaunek:0004
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    References listed on IDEAS

    as
    1. Rauner, Marion S. & Bajmoczy, Nikolaus, 2003. "How many AEDs in which region? An economic decision model for the Austrian Red Cross," European Journal of Operational Research, Elsevier, vol. 150(1), pages 3-18, October.
    2. Sund, Björn, 2010. "The value of a statistical life for out-of-hospital cardiac arrest victims," Working Papers 2010:4, Örebro University, School of Business.
    3. Johannesson, Magnus & Jonsson, Bengt, 1991. "Economic evaluation in health care: Is there a role for cost-benefit analysis?," Health Policy, Elsevier, vol. 17(1), pages 1-23, February.
    4. Sund, Björn & Svensson, Leif & Rosenqvist, Mårten & Hollenberg, Jacob, 2010. "Favourable cost-benefit in an early defibrillation program using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest," Working Papers 2010:13, Örebro University, School of Business.
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    More about this item

    Keywords

    out-of-hospital cardiac arrest; defibrillation; response time; survival rate; geographic information systems; fire services;
    All these keywords.

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • I10 - Health, Education, and Welfare - - Health - - - General

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