Cost effectiveness analysis of screening of high school athletes for risk of sudden cardiac death.
Cost effectiveness analysis of screening of high school athletes for risk of sudden cardiac death.
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DOI：
10.1097/00005768-200005000-00002
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发表时间：
2000-05
影响因子：
4.1
通讯作者：
C. Fuller
中科院分区：
文献类型：
--
作者：
C. Fuller
一名高中运动员心脏猝死是一场令人震惊的悲剧。推荐三种筛查方法以减少其发生：特定的心血管病史和体格检查、12导联ECG和二维（2D）超声心动图。本研究分析了每种方法的成本效益。进行每项检查和评价异常筛查结果的成本接近。估计了通过检测具有心脏性猝死潜在原因的运动员所获得的寿命。总的来说，心血管筛查检查每年挽救生命的近似成本是：特定的心血管病史和体格检查，84 000美元; 12导联心电图，44 000美元;二维超声心动图，200 000美元。12导联心电图是目前推荐的三种方法中最具成本效益的心血管诊断方法。病史和体格检查或2D超声心动图的成本效益相似，分别需要灵敏度增加2倍或成本降低4.5倍。
Sudden cardiac death of a high school athlete is an alarming tragedy. Three preparticipation screening methods have been recommended to reduce its occurrence: specific cardiovascular history and physical examination, 12-lead ECG, and two-dimensional (2D) echocardiography. This study analyzes the cost effectiveness of each of these methods. The cost to perform each test and to evaluate abnormal screening findings were approximated. The years of life gained through detection of athletes with potential causes of sudden cardiac death were estimated. Overall, the approximate costs per year of life saved for the preparticipation cardiovascular screening examinations are: specific cardiovascular history and physical examination, $84,000; 12-lead ECG, $44,000; and 2D echocardiography, $200,000. The 12-lead ECG is the most cost effective preparticipation cardiovascular modality of the three currently recommended methods. Similar cost effectiveness for history and physical examination or 2D echocardiography would require respectively a 2-fold increase in sensitivity or 4.5-fold decrease in cost.