Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling 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 co...
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| Format: | Article |
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BioMed Central
2014
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| Online Access: | https://eprints.nottingham.ac.uk/3212/ |
| _version_ | 1848790978530377728 |
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| author | Saramago, Pedro Cooper, Nicola J. Sutton, Alex J. Hayes, Mike Dunn, Ken Manca, Andrea Kendrick, Denise |
| author_facet | Saramago, Pedro Cooper, Nicola J. Sutton, Alex J. Hayes, Mike Dunn, Ken Manca, Andrea Kendrick, Denise |
| author_sort | Saramago, Pedro |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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 [pound sign]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. |
| first_indexed | 2025-11-14T18:21:12Z |
| format | Article |
| id | nottingham-3212 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T18:21:12Z |
| publishDate | 2014 |
| publisher | BioMed Central |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-32122020-05-04T16:47:51Z https://eprints.nottingham.ac.uk/3212/ Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study Saramago, Pedro Cooper, Nicola J. Sutton, Alex J. Hayes, Mike Dunn, Ken Manca, Andrea Kendrick, Denise 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 [pound sign]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. BioMed Central 2014-05-16 Article PeerReviewed Saramago, Pedro, Cooper, Nicola J., Sutton, Alex J., Hayes, Mike, Dunn, Ken, Manca, Andrea and Kendrick, Denise (2014) Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study. BMC Public Health, 14 . 459/1-459/11. ISSN 1471-2458 Cost-effectiveness analysis; Smoke alarms; Decision model; Fire-related injuries; Child home injuries http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-459 doi:10.1186/1471-2458-14-459 doi:10.1186/1471-2458-14-459 |
| spellingShingle | Cost-effectiveness analysis; Smoke alarms; Decision model; Fire-related injuries; Child home injuries Saramago, Pedro Cooper, Nicola J. Sutton, Alex J. Hayes, Mike Dunn, Ken Manca, Andrea Kendrick, Denise Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| title | Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| title_full | Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| title_fullStr | Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| title_full_unstemmed | Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| title_short | Cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| title_sort | cost-effectiveness of interventions for increasing the possession of functioning smoke alarms in households with pre-school children: a modelling study |
| topic | Cost-effectiveness analysis; Smoke alarms; Decision model; Fire-related injuries; Child home injuries |
| url | https://eprints.nottingham.ac.uk/3212/ https://eprints.nottingham.ac.uk/3212/ https://eprints.nottingham.ac.uk/3212/ |