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February 6, 2002

Cost-effectiveness of Aircraft Safety Measures—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(5):584-585. doi:10.1001/jama.287.5.583

In Reply: We agree with Dr O'Rourke that the relative cost-effectiveness of AEDs on large aircraft is in accordance with previous cost-effectiveness estimates for community public access defibrillation programs.1,2 An important distinction is that Nichol and colleagues2 examined cost-effectiveness of multiple AEDs placed throughout a community, while we emphasized the significance of the unique setting in which a particular AED is used. Characteristics such as the local population density or number of patients using the device within a certain time can play an essential role in the cost-effectiveness of an AED in a particular location. By choosing such locations carefully, the cost-effectiveness of a public access defibrillation program can be dramatically improved.