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Table 3 Cost‐effectiveness results.

Time delay Strategy Mean costs (£) Mean QALYs ICER (£) Probability of being cost effective for threshold of:
£10 000 £20 000 £30 000
Base‐case analysis
Average delay (54 min) Primary angioplasty 12 760 7.12 9 241 0.55 0.90 0.95
Thrombolysis 10 080 6.83 0.45 0.10 0.05
Time delays of:
30 Minutes Primary angioplasty 12 820 7.23 6 850 0.82 0.98 0.99
Thrombolysis 10 080 6.83 0.18 0.02 0.01
60 Minutes Primary angioplasty 12 750 7.09 10 269 0.43 0.83 0.91
Thrombolysis 10 080 6.83 0.57 0.17 0.09
90 Minutes Primary angioplasty 12 670 6.87 64 750 0.13 0.36 0.45
Thrombolysis 10 080 6.83 0.87 0.64 0.55
Differential length of hospital stay*
Average delay (54 min) Primary angioplasty 12 030 7.12 5 448 0.82 0.95 0.97
Thrombolysis 10 450 6.83 0.18 0.05 0.03
30 Minutes Primary angioplasty 12 085 7.23 4 087 0.95 0.99 0.99
Thrombolysis 10 450 6.83 0.05 0.01 0.01
60 Minutes Primary angioplasty 12 020 7.09 6 038 0.75 0.91 0.99
Thrombolysis 10 450 6.83 0.25 0.09 0.01
90 Minutes Primary angioplasty 11 940 6.87 37 250 0.32 0.47 0.52
Thrombolysis 10 450 6.83 0.68 0.53 0.48

ICER, incremental cost‐effectiveness ratio; QALYs, quality‐adjusted life years.

*Using an estimate of 5.8 days (SE 1.6) for primary angioplasty and 12.1 days (SE 2.9) for thrombolysis (Morgan K, personal communication, 2005).