Delirium cost-effectiveness of therapy: Difference between revisions
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==Overview== | ==Overview== | ||
===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 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>an average increase | 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 | 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. 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. | ||
worse physical and cognitive recovery at six and | |||
12 months with increased time in institutional care. | |||
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== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 01:31, 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. 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".