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Wearable cardioverter-defibrillator for prevention of sudden cardiac death after infected implantable cardioverter-defibrillator removal: A cost-effectiveness evaluation Christopher A. Healy, MD, Roger G. Carrillo, MD, FHRS Heart Rhythm Volume 12, Issue 7, Pages (July 2015) DOI: /j.hrthm Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 1 Treatment strategies after implantable cardioverter-defibrillator (ICD) extraction for infection. SCD = sudden cardiac death; SNF = skilled nursing facility; WCD = wearable cardioverter-defibrillator. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 2 Model structure. ICD = implantable cardioverter-defibrillator; SCD = sudden cardiac death; SNF = skilled nursing facility; WCD = wearable cardioverter-defibrillator. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 3 Two-way sensitivity analysis on sudden cardiac arrest (SCA) risk and non-SCA risk (willingness-to-pay threshold = $50,000 per quality-adjusted life-year [QALY]). Strategies 2 and 3 stay dominated and thus are not shown in the plotted area. WCD = wearable cardioverter-defibrillator. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 4 Two-way sensitivity analysis on wearable cardioverter-defibrillator (WCD) efficacy and sudden cardiac arrest (SCA) risk (willingness-to-pay threshold = $50,000 per quality-adjusted life-year [QALY]). Strategies 2 and 3 stay dominated and thus are not shown in the plotted area. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 5 Sensitivity analysis: time to reimplantation. ICD = implantable cardioverter-defibrillator; ICER = incremental cost-effectiveness ratio; QALY = quality-adjusted life-year. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 6 Sensitivity analysis: time to reimplantation and first 2 -month sudden cardiac arrest risk. ICER = incremental cost-effectiveness ratio; QALY = quality-adjusted life-year. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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Figure 7 Cost per quality-adjusted life-year (QALY). SNF = skilled nursing facility; WCD = wearable cardioverter-defibrillator. Heart Rhythm , DOI: ( /j.hrthm ) Copyright © 2015 Heart Rhythm Society Terms and Conditions
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