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Cost Effectiveness of Skyaid for Strokes
updated 2/02/01
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United States |
Developing country |
| Cost of stroke (current) |
$90,000 [N1] |
$9,000 [N2] |
| Cost of stroke for Skyaid Watch and Skyaid
users |
$20,000 [N3] |
$2,000 |
| Stroke annual rate of occurrence in population |
0.3% [N4] |
0.3% [N4] |
| Cost of stroke (if paid by taxes) |
$60 [N5] |
$6 [N6] |
| Cost of Skyaid Watch + Skyaid per year |
$20 |
$6 |
| Total cost: Stroke + Skyaid Watch + Skyaid |
$80 |
$12 |
DALY saved
by stroke reduction from
Skyaid Watch + Skyaid |
4 |
4 |
| Cost of DALY saved |
$20 |
$3 [N7] |
Some health improvements < $20
per DALY (Disability Adjusted Life Year)
are funded by the country, by World
Health Organization, by Gates Foundation, etc.
Example of low cost ways to save a DALY from
above reference
$12 Immunization
$25 AIDS
$15-75 Family planning
$ 1-25 Iodine, Vitamin A
$ 1-55 STD antibiotic treatment
$25 Stop smoking, alcohol, and other drug use
$3 for
Skyaid Stroke is more
cost effective than most health improvement programs for developing
countries.
- It appears the total subsidization of Skyaid Watch and
Skyaid service to the people of a developing country would be more cost
effective way of saving DALY than reducing AIDS,
increasing family planning, immunization, etc.
More expensive health improvements $100
per DALY, and >$100 per DALY are considered, but are often just too expensive to be funded
by developing countries
[Notes] - - - - - - -
N1 - Lifetime cost of a
stroke in US is $91,000 (ranges greatly with age).
This cost includes medical
costs , lost wages, etc.
N2 - Assumes that medical, wages, and etc. costs
are 10% of those in the US {range 5% to 40%]
N3 a) Skyaid Watch confirms stroke, even while
person sleeps.
22% {range from 5% to
50%}
b) Fly victim quickly to a stroke center, improve outcome,
reverse damage, reduce mortality
c) Stroke center costs amortized over 10x up to 100X
more stroke patients with Skyaid
N4 - 700,000 strokes per 220 million
US population = rate of 0.3% {range from 0.07% to 7%}
N5 - Includes Skyaid Watch, communications service,
Skycar Service,
$20 {range $10 to $100} but without free non-emergency voice-mail service
of Skyaid Watch
N6 - Similar at N5, but lower costs due to lower
salaries in developing countries.
$4 {range $1 to $30}
N7- Worst case 128x 2.5 = $320, which
accounts for almost worst cases:
N1 =4, N2 = 4, N3 = 2, N4 =4
- - - - - - - - - - - - - - - Some Stroke
References from Stroke- - - - - - - - - - - - - -
Many strokes can be reversed if the victim gets to a
Stroke center in the golden hour
Nov3, http://www.strokepreventionplus.com,
Reduces risk of disability by 30%,
Just getting a victim to a stroke center (even after the
golden hour)
reduces chance
of death by 40%, June
21 Issue of JAMA
Skyaid can apply mild hypothermia before getting to the
hospital.
1
degree cooling doubles the chance of a good outcome, Stroke
Feb 2000,
Stroke is very prevalent.
Over a lifetime, four out of every five American families
will be touched by a stroke
730,000 strokes annually in US of which 10-18% will experience another stroke
within a year
A stroke center must to have a "stroke team" on
call and an expensive MRI to eliminate the possibility that the stroke is hemorrhagic
before applying the blood thinning tPA. stroke chain of survival
A good summary of the state of knowledge of stroke
treatments is at Brain
Attack
There are lots of links to details at Stroke -
Doctors Guide.
Very few US hospitals now have stroke
centers. Most hospitals have such small 'catchment
areas" that they get about 1 stroke per week, making it not cost effective
to create a stroke center or stroke team and have the essential MRI available 24
hours a day. However, the American Stroke Association has set a goal
to reduce death and disability from stroke by 25 percent by 2010
Much of the delay in getting to a stroke center results
from delay in calling for emergency medical assistance
1) Unsure that they are having a stroke
2) Unaware that getting to a stroke center quickly will help.
The Skyaid Watch may assist in
confirming that the wearer is indeed having a stroke, even if asleep.
Strokes occur frequently during sleep.
See also Cost
Effectiveness page in Skyaid
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