Long-Term Cost-Effectiveness of Severity-Based Triaging for Large Vessel Occlusion Stroke.

ABSTRACT:

Background and purpose

Pre-hospital severity-based triaging using the Ambulance Clinical Triage For Acute Stroke Treatment (ACT-FAST) algorithm has been demonstrated to substantially reduce time to endovascular thrombectomy in Melbourne, Australia. We aimed to model the cost-effectiveness of an ACT-FAST bypass system from the healthcare system perspective.

Methods

A simulation model was developed to estimate the long-term costs and health benefits associated with diagnostic accuracy of the ACT-FAST algorithm. Three-month post stroke functional outcome was projected to the lifetime horizon to estimate the long-term cost-effectiveness between two strategies (ACT-FAST vs. standard care pathways). For ACT-FAST screened true positives (i.e., screened positive and eligible for EVT

SUBMITTER: Gao L 

PROVIDER: S-EPMC9136079 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature