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Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study..pdf (377.51 kB)

Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study

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posted on 2015-07-10, 09:33 authored by P. Saramago, Nicola J. Cooper, A. J. Sutton, M. Hayes, K. Dunn, A. Manca, D. Kendrick, Keeping Children Safe at Home study
Background: The UK has one of the highest rates for deaths from fire and flames in children aged 0–14 years compared to other high income countries. Evidence shows that smoke alarms can reduce the risk of fire-related injury but little exists on their cost-effectiveness. We aimed to compare the cost effectiveness of different interventions for the uptake of ‘functioning’ smoke alarms and consequently for the prevention of fire-related injuries in children in the UK. Methods: We carried out a decision model-based probabilistic cost-effectiveness analysis. We used a hypothetical population of newborns and evaluated the impact of living in a household with or without a functioning smoke alarm during the first 5 years of their life on overall lifetime costs and quality of life from a public health perspective. We compared seven interventions, ranging from usual care to more complex interventions comprising of education, free/low cost equipment giveaway, equipment fitting and/or home safety inspection. Results: Education and free/low cost equipment was the most cost-effective intervention with an estimated incremental cost-effectiveness ratio of £34,200 per QALY gained compared to usual care. This was reduced to approximately £4,500 per QALY gained when 1.8 children under the age of 5 were assumed per household. Conclusions: Assessing cost-effectiveness, as well as effectiveness, is important in a public sector system operating under a fixed budget restraint. As highlighted in this study, the more effective interventions (in this case the more complex interventions) may not necessarily be the ones considered the most cost-effective.

History

Citation

BMC Public Health, 2014, 14 : 459

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences

Version

  • VoR (Version of Record)

Published in

BMC Public Health

Publisher

BioMed Central

eissn

1471-2458

Acceptance date

2014-04-24

Copyright date

2014

Available date

2015-07-10

Publisher version

http://www.biomedcentral.com/1471-2458/14/459

Notes

PMCID: PMC4046996

Language

en

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