Cost-effectiveness of multi-component interventions to prevent delirium in older people admitted to medical wards

Age and Ageing

Volumn 41, Issue 3, 2012, Pages 285-291

  Akunne, Anayo ^a   Murthy, Lakshmi ^b   Young, John ^c  

^a KSG Trans Ltd   (United Kingdom)

^b NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE   (United Kingdom)

^c BRADFORD INSTITUTE FOR HEALTH RESEARCH   (United Kingdom)

Author keywords

Cost effectiveness; Delirium; Elderly; Multi component interventions; Prevention

Indexed keywords

ADVERSE OUTCOME; AGED; AGING; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; COST OF ILLNESS; DECISION TREE; DECUBITUS; DELIRIUM; DISEASE ASSOCIATION; DISEASE SEVERITY; FALLING; GERIATRIC CARE; HEALTH CARE NEED; HEALTH CARE PLANNING; HIGH RISK PATIENT; HOSPITAL ADMISSION; HOSPITAL COST; HUMAN; INTERVENTION STUDY; LENGTH OF STAY; LIFE EXPECTANCY; LONG TERM CARE; MAJOR CLINICAL STUDY; MORTALITY; PRIORITY JOURNAL; QUALITY ADJUSTED LIFE YEAR; REVIEW; RISK ASSESSMENT; RISK FACTOR; RISK REDUCTION; SENSITIVITY ANALYSIS;

AGE FACTORS; AGED; AGING; COMPUTER SIMULATION; COST SAVINGS; COST-BENEFIT ANALYSIS; DELIRIUM; GERIATRICS; HOSPITAL COSTS; HUMANS; INPATIENTS; KAPLAN-MEIER ESTIMATE; LIFE EXPECTANCY; MODELS, ECONOMIC; ODDS RATIO; PATIENT ADMISSION; PATIENT CARE TEAM; QUALITY-ADJUSTED LIFE YEARS; RISK ASSESSMENT; RISK FACTORS; TREATMENT OUTCOME;

EID: 84860520838     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afr147     Document Type: Review

References (27)

1. National Institute for Health and Clinical Excellence. Delirium: Diagnosis, Prevention and Management. (Clinical Guideline 103). London: National Institute for Health and Clinical Excellence, 2010. Available from: http://guidance.nice.org.uk/CG103/Guidance.
2. Siddiqi N, Horne AO, House AO, Holmes JD. Occurrence and outcome of delirium in medical in-patients; a systematic literature review. Age Ageing 2006; 35: 350-64.
3. O'Keeffe S, Lavan J. The prognostic significance of delirium in older hospital patients. J Am Geriatr Soc 1997; 45: 174-8.
4. Rockwood K, Cosway S, Carver D, Jarrett P, Stadnyk K, Fisk J. The risk of dementia and death after delirium. Age Ageing 1999; 28: 551-6.
5. Bourdel-Marchasson I, Vincent S, Germain C et al. Delirium symptoms and low dietary intake in older inpatients are independent predictors of institutionalization: a 1-year prospective population-based study. J Gerontol A Biol Sci Med Sci 2004; 59: 350-4.
6. Holmes J, House A. Psychiatric illness predicts poor outcome after surgery for hip fracture: a prospective cohort study. Psychol Med 2000; 30: 921-9.
7. Thomason JW, Shintani A, Peterson JF, Pun BT, Jackson JCEly EW. Intensive care unit delirium is an independent predictor of longer hospital stay: a prospective analysis of 261non-ventilated patients. Critical Care 2005; 9: R375-81.
8. Ely EW, Shintani A, Truman B et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. J Am Med Assoc 2004; 291: 1753-62.
9. Pitkala KH. Prognostic significance of delirium in frail older people. Dement Geriatr Cogn Disord 2005; 19: 158-63.
10. United State Department of Health and Human Services. CMS Statistics. Washington, DC, Centers for Medicare and Medicaid Services, 34 (CMS Pub. No. 03445), 2004.
11. Inouye SK, Bogardus ST Jr, Charpentier PA et al. Amulticomponent intervention to prevent delirium in hospitalized older patients. N Eng J Med 1999; 340: 669-76.
12. National Institute for Health and Clinical Excellence. Guide to the Methods of Technology Appraisal. London; [cited June 2008]. Available from: http://www.nice.org.uk/media/B52/A7/TAMethodsGuideUpdated.
13. Ekman M, Berg J, Wimo A, Jonsson L, McBurney C. Health utilities in mild cognitive impairment and dementia: a population study in Sweden. Int J Geriatr Psychiatry 2007; 22: 649-55.
14. McNamee P, Bond J, Buck D. Resource Implications Study of the Medical Research Council Cognitive Function and Ageing Study. Costs of dementia in England and Wales in the 21st century. Br J Psychiatry 2001; 179: 261-6.
15. Netten A, Bebbington A, Darton R, Forder J, Miles K. 1996 Survey of care homes for elderly people. Final Report, PSSRU Discussion Paper 1423/2, University of Canterbury, Kent: Personal Social Services Research Unit, 1998.
16. Hendriks MR, Evers SM, Bleijlevens MH, van Haastregt JC, Crebolder HF, van Eijk JT. Cost-effectiveness of a multidisciplinary fall prevention program in community-dwelling elderly people: a randomized controlled trial. Int J Tech Assess Health Care 2008; 24: 193-202.
17. Inouye SK, Bogardus ST Jr, Baker DI, Leo-Summers L, Cooney LM Jr. The hospital elder life program: a model of care to prevent cognitive and functional decline in older hospitalized patients. J Am Geriatr Soc 2000; 48: 1697-706.
18. Personal Social Services Research Unit. Dementia UK: The Full Report, London: The Alzheimer's Society. 2007. Available from: http://www.alzheimers.org.uk/site/scripts/download.php?fileID=2.
19. Rizzo JA, Bogardus ST Jr, Leo-Summers L, Williams CS, Acampora D, Inouye SK. Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value? Medical Care 2001; 39: 740-52.
20. Rockwood K. Need we do so badly in managing delirium in elderly patients? Age Ageing 2003; 32: 473-4.
21. Vidan M, Sanchez E, Alonso M, Montero B, Ortiz J, Serra J. An intervention integrated into daily clinical practices reduces the incidence of delirium during hospitalisation in elderly patients. JAGS 2009; 57: 2029-36.
22. Clark M, Watts S. The incidence of pressure sores within a National Health Service Trust Hospital During 1991. J Adv Nursing 1994; 20: 33-6.
23. The NHS Information Centre. Hospital Episode Statistics for England, 2007-08.
24. Bennett G, Dealey C, Posnett J. The cost of pressure ulcers in the UK. Age Ageing 2004; 33: 230-5.
25. Iglesias CP, Manca A, Torgerson DJ. The health-related quality of life and cost implications of falls in elderly women. Osteoporos Int 2009; 20: 869-78.
26. Netten A, Darton R, Bebbington A, Forder J, Brown P, Mummery K. Residential and nursing home care of elderly people with cognitive impairment: prevalence, mortality and costs. Aging Men Health 2001; 5: 14-22.
27. Ward S, Lloyd JM, Pandor A et al. A systematic review and economic evaluation of statins for the prevention of coronary events. Health Tech Assess 2007; 11: 1-160.