Delirium cost-effectiveness of therapy: Difference between revisions

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* 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>
* 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
* 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.
* 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 worse prognosis.   
* One third patient do not achieve complete recovery from delirium, and they tend to have 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>
* 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>

Revision as of 02:35, 17 February 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vishal Khurana, M.B.B.S., M.D. [2]; Pratik Bahekar, MBBS [3]

Overview

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,

  • 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 worse prognosis.
  • Patients may have recollections of the event that they find unpleasant and disturbing.[4]

References

  1. 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)
  2. 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)
  3. "What are the opportunities f... [J Neuropsychiatry Clin Neurosci. 2012] - PubMed - NCBI".
  4. "Delirium in elderly people. [Lancet. 2013] - PubMed - NCBI". Text " accessdate " ignored (help)

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