Prophylactic implantable cardioverter--defibrillators increased life expectancy with anacceptable cost-effectiveness ratio

March 2006
ACP Journal Club;Mar/Apr2006, Vol. 144 Issue 2, p52
Academic Journal
This article presents a study which reveals that Prophylactic implantable cardioverter--defibrillators (ICD) increased life expectancy with anacceptable cost-effectiveness ratio. Patients at risk for sudden death because of left ventricular systolic dysfunction who had not had life-threatening ventricular arrhythmias. Patients had a history of myocardial infarction, coronary artery disease, cardiomyopathy, heart failure, or coronary artery bypass graft. Incremental cost-effectiveness of ICD per year of life and per quality-adjusted life-year with a utility adjustment of 0.88 in both groups. Costs, in 2005 U.S. dollars, were direct costs of medical care, extrapolated until death from any cause.


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