Delirium cost-effectiveness of therapy: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Delirium}} | {{Delirium}} | ||
{{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com] | {{CMG}}; {{AE}} {{PB}}; [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com] | ||
==Overview== | ==Overview== | ||
Delirium worsen prognosis of an illness and results in more health care costs. Focus should be on prevention and early identification of delirium. | Delirium worsen prognosis of an illness and results in more health care costs. Focus should be on prevention and early identification of delirium. | ||
==Cost-Effectiveness of Therapy== | ==Cost-Effectiveness of Therapy== | ||
In the USA, the cost of a patient admission with delirium is estimated at between $16k and $64k, suggesting the national burden of delirium may range from $38 bn to $150 bn per year (2008 estimate).<ref>{{cite journal|last=Leslie|first=DL|coauthors=Marcantonio, ER; Zhang, Y; Leo-Summers, L; Inouye, SK|title=One-year health care costs associated with delirium in the elderly population.|journal=Archives of Internal Medicine|date=Jan 14, 2008|volume=168|issue=1|pages=27–32|pmid=18195192|doi=10.1001/archinternmed.2007.4}}</ref> | * In the USA, the cost of a [[patient]] admission with [[delirium]] is estimated at between $16k and $64k, suggesting the national burden of [[delirium ]] may range from $38 bn to $150 bn per year (2008 estimate).<ref>{{cite journal|last=Leslie|first=DL|coauthors=Marcantonio, ER; Zhang, Y; Leo-Summers, L; Inouye, SK|title=One-year health care costs associated with delirium in the elderly population.|journal=Archives of Internal Medicine|date=Jan 14, 2008|volume=168|issue=1|pages=27–32|pmid=18195192|doi=10.1001/archinternmed.2007.4}}</ref> | ||
* In the UK, the cost is estimated as £13k per [[admission]].<ref>{{cite journal|last=Akunne|first=A|coauthors=Murthy, L; Young, J|title=Cost-effectiveness of multi-component interventions to prevent delirium in older people admitted to medical wards.|journal=Age and ageing|date=May 2012|volume=41|issue=3|pages=285–91|pmid=22282171|doi=10.1093/ageing/afr147}}</ref> | |||
* [[Delirium ]] results in the following: | |||
* Increased [[health care]] costs | |||
* Higher incidence of [[death]]<ref>{{Cite web | last = | first = | title = What are the opportunities f... [J Neuropsychiatry Clin Neurosci. 2012] - PubMed - NCBI | url =http://www.ncbi.nlm.nih.gov/pubmed/23224454 | publisher = | date = | accessdate = }}</ref> | |||
* Rise in the duration of the [[hospital]] stay by an average of eight days | |||
* Worse [[physical]] and [[cognitive]] recovery in 6 - 12 months with increased [[time]] in institutional care | |||
* One-third [[patient]] do not achieve complete recovery from [[delirium]], and they tend to have a worse [[prognosis]]. | |||
* [[Patients]] may have recollections of the [[event]] that they find unpleasant and disturbing.<ref>{{Cite web | last = | first = | title = Delirium in elderly people. [Lancet. 2013] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/23992774 | publisher = | date = | accessdate }}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 09:00, 15 April 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2]; Vishal Khurana, M.B.B.S., M.D. [3]
Overview
Delirium worsen prognosis of an illness and results in more health care costs. Focus should be on prevention and early identification of delirium.
Cost-Effectiveness of Therapy
- In the USA, the cost of a patient admission with delirium is estimated at between $16k and $64k, suggesting the national burden of delirium may range from $38 bn to $150 bn per year (2008 estimate).[1]
- In the UK, the cost is estimated as £13k per admission.[2]
- Delirium results in the following:
- Increased health care costs
- Higher incidence of death[3]
- Rise in the duration of the hospital stay by an average of eight days
- Worse physical and cognitive recovery in 6 - 12 months with increased time in institutional care
- One-third patient do not achieve complete recovery from delirium, and they tend to have a worse prognosis.
- Patients may have recollections of the event that they find unpleasant and disturbing.[4]
References
- ↑ Leslie, DL (Jan 14, 2008). "One-year health care costs associated with delirium in the elderly population". Archives of Internal Medicine. 168 (1): 27–32. doi:10.1001/archinternmed.2007.4. PMID 18195192. Unknown parameter
|coauthors=ignored (help) - ↑ Akunne, A (May 2012). "Cost-effectiveness of multi-component interventions to prevent delirium in older people admitted to medical wards". Age and ageing. 41 (3): 285–91. doi:10.1093/ageing/afr147. PMID 22282171. Unknown parameter
|coauthors=ignored (help) - ↑ "What are the opportunities f... [J Neuropsychiatry Clin Neurosci. 2012] - PubMed - NCBI".
- ↑ "Delirium in elderly people. [Lancet. 2013] - PubMed - NCBI". Text " accessdate " ignored (help)