Delirium cost-effectiveness of therapy: Difference between revisions
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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> | 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 is linked to prolonged hospital stay, longer periods of cognitive impairment, increased health care costs and higher incidence of death.<ref name="www.ncbi.nlm.nih.gov">{{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> | Delirium is linked to prolonged hospital stay, longer periods of cognitive impairment, increased health care costs and higher incidence of death.<ref name="www.ncbi.nlm.nih.gov">{{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>an average increase | ||
of eight days in the length of stay in hospital, and | |||
worse physical and cognitive recovery at six and | |||
12 months with increased time in institutional care. | |||
6 | |||
Good evidence also exists that symptoms of delirium | |||
persist in about a third of patients | |||
and that these patients have a worse prognosis. | |||
After recovery from delirium, patients can experience recollections of the event that they find unpleasant and disturbing. | |||
==References== | ==References== | ||
Revision as of 01:09, 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 is linked to prolonged hospital stay, longer periods of cognitive impairment, increased health care costs and higher incidence of death.[3]an average increase of eight days in the length of stay in hospital, and worse physical and cognitive recovery at six and 12 months with increased time in institutional care. 6 Good evidence also exists that symptoms of delirium persist in about a third of patients and that these patients have a worse prognosis. After recovery from delirium, patients can experience recollections of the event that they find unpleasant and disturbing.
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".