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Table 2 Model Input - Cost Data for Hospital and Out-Patient Care and Health Outcomes

From: Cost-effectiveness analysis of alternative cooling strategies following cardiac arrest

Variable Cost (range) Reference
Cooling Costs ($)   
 Blanket (2 blankets/person + cooling device) 6729 (4526–8951) [17], UMHS
 Peritoneal lavage 9284 (8234–9784) [22]
 V-V ECMO 39,038 (19,519–58,557) UMHS
Hospital Care
 ICU (includes nursing costs)
  Length of stay (survivors) 5 (2–7) [17]
  Length of stay (non-survivors) 1 (0.5–3) [17]
 ICU Cost($)/day 4973 (3730–6216) [17], UMHS
 Medication (sedation) costs for cooling in ICU ($) 1197 (854–1708) [17], UMHS, Drug Red Book
 Floor (includes nursing costs)
  Length of stay 18 (10–36) [17]
  Floor cost ($)/day 2365 (1774–2956) [17], UMHS
Post Hospital Costs ($)
 Good Neuro Outcome
  ICD (Implant and professional costs) 35,868 (26,901–44,835) [24], UMHS
  Rehabilitation therapy (Daily) 1443 (1082–1804) [17, 23]
  Rehab (days) 30 (10–90) Assumption
  Annual Ground Transportation (biannual clinic visits; reimbursement rate $0.56/mi; average 20 miles roundtrip) 22 (17–28) GSA
  Caregiver Opportunity cost (clinic visits) 175 (131–219) US Census Bureau
  Outpatient primary care (annual costs) 1305 (1180–1430) [23]
 Poor Neuro Outcome
  Outpatient primary care (annual costs) 2345 (2140–2550)  
  Chronic Ventilator Care (Daily) 1582 (1187–1978) [17, 23]
  Long Term Care (Daily) 257 (193–321) [17, 23]
  Annual Ground Transportation (quarterly clinic visits;reimbursement rate $0.56/mi; 20 miles roundtrip) 44 (33–55) GSA
  Opportunity cost (lost wages-annual average) 36,410 (27,308–45,513) US Census Bureau
Life Expectancy (years)
 Good neurologic outcome 5.5 (4–10) [17]
 Poor neurologic outcome 1.0 (0.25–3.0) [17]
Health Utility (converted to QALY)
 Good neurologic outcome 0.76 (0.55–0.97) [25, 26]
 Poor neurologic outcome 0.35 (0.2–0.5) [17, 26]
Discount Rate 3% (0%–5%) Gold*
  1. UMHS University of Michigan Health System, HCUP Healthcare Cost and Utilization Project, MEPS Medical Expenditure Panel Survey, GSA General Services Administration.
  2. * Gold MR, Siegel JE, Russell LB, Weinstein MC, eds. Cost-Effectiveness in Health and Medicine. New York, NY: Oxford University Press; 1996.