چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| n recent years, there have been substantial advancements in the development of diferent technologies for extracorporeal membrane oxygenation (ECMO) for in-hospital and out of hospital applications. However the efectiveness of these devices is not clearly known. The objective of this study was to evaluate the cost-efectiveness of Cardiohelp compared to other portable ECMO devices. In this systematic review, we searched Medline (via Ovid), Embase, Pubmed, Cochrane Library, SCOPUS, CRD and NICE. Articles were assessed by two independent reviewers for eligibility and quality of the evidence. Studies which compared Cardiohelp to other ECMO devices were included. Seven out of 1316 publication were included in this review, three of them were clinical trials and four were observational studies. The majority of the studies had limited quality. According to the measures of safety, Cardiohelp had safer technological features, but on the other hand, was more complex to use. Considering the efectiveness, Cardiohelp was not statistically diferent from other technologies. Cardio- help showed slightly better performance than Centrimag in terms of cost per patient and cost-efectiveness. However, when clinical criteria were used to select the patients with good prognosis to administer the ECMO, incremental cost utility ratios (ICURs) for both Cardiohelp and Centrimag were below the level of willingness-to-pay threshold. According to the meas- ures of safety and efectiveness, ECMO with Cardiohelp was not considerably diferent from other evaluated technologies. Moreover, ECMO with Cardiohelp or Centrimag can be considered cost-efective, provided that the patients are selected carefully in terms of neurological outcomes. |
| نویسنده | نفر چندم مقاله |
|---|---|
| فریبا حیدری | دوم |
| علیرضا محبوب اهری | اول |
| فاطمه صادقی غیاثی | سوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Mahboub-Ahari2019_Article_ASystematicReviewOfEffectivene.pdf | 1397/12/15 | 777925 | دانلود |
