Cost-effectiveness analysis of a ‘Termination of Resuscitation’ protocol for the management of out-of-hospital cardiac arrest,Resuscitation

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Cost-effectiveness analysis of a ‘Termination of Resuscitation’ protocol for the management of out-of-hospital cardiac arrest
Resuscitation ( IF 6.5 ) Pub Date : 2024-07-17 , DOI: 10.1016/j.resuscitation.2024.110323
Nuraini Nazeha ₁ , Desmond Renhao Mao ₂ , Dehan Hong ₃ , Nur Shahidah ₄ , Ivan Si Yong Chua ₅ , Yih Yng Ng ₆ , Benjamin S H Leong ₇ , Ling Tiah ₈ , Michael Y C Chia ₉ , Wei Ming Ng ₁₀ , Nausheen E Doctor ₁₁ , Marcus Eng Hock Ong ₁₂ , Nicholas Graves ₁

Affiliation

Health Services and Systems Research, Duke-NUS Medical School, 8 College Rd, Singapore 169857, Singapore.
Department of Acute and Emergency Care, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Singapore.
Emergency Medical Services Department, Singapore Civil Defence Force, 91 Ubi Ave 4, Singapore 408827, Singapore.
Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608, Singapore; Pre-hospital and Emergency Research Centre, Duke-NUS Medical School, 8 College Rd, Singapore 169857, Singapore.
Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Department of Preventive and Population Medicine, Tan Tock Seng Hospital, 11 Jln Tan Tock Seng, Singapore 308433, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Rd, Singapore 308207, Singapore.
Emergency Medicine Department, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore.
Accident and Emergency, Changi General Hospital, 2 Simei St 3, Singapore 529889, Singapore.
Emergency Department, Tan Tock Seng Hospital, 11 Jln Tan Tock Seng, Singapore 308433, Singapore.
Emergency Medicine Department, Ng Teng Fong General Hospital, 1 Jurong East Street 21, Singapore 609606, Singapore.
Department of Emergency Medicine, Sengkang General Hospital, 110 Sengkang E Wy, Singapore 544886, Singapore.
Health Services and Systems Research, Duke-NUS Medical School, 8 College Rd, Singapore 169857, Singapore; Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.

Historically in Singapore, all out-of-hospital cardiac arrests (OHCA) were transported to hospital for pronouncement of death. A ‘Termination of Resuscitation’ (TOR) protocol, implemented from 2019 onwards, enables emergency responders to pronounce death at-scene in Singapore. This study aims to evaluate the cost-effectiveness of the TOR protocol for OHCA management.

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