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Cost-effectiveness of multi-component interventions to prevent delirium in older people admitted to medical wards
Author(s)Anayo Akunne, Lakshmi Murthy, John Young
Journal titleAge and Ageing, vol 41, no 3, May 2012
Pagespp 285-291
Sourcehttp://ageing.oxfordjournals.org/ http://www.bgs.org.uk/
KeywordsConfusion ; Medical wards ; In-patients ; Preventative medicine ; Cost effectiveness.
AnnotationEvidence suggests that delirium incidence can be reduced in older patients admitted to medical wards using multi-component interventions that target delirium risk factors, however the cost-effectiveness of this approach is uncertain. Thus a novel cost-effectiveness model for delirium prevention was developed. The study compared multi-component delirium prevention intervention with usual care using a model based on a decision tree analysis. The model was used to estimate the incremental net monetary benefit (INMB). The robustness of the cost-effectiveness result was explored using deterministic and probabilistic sensitivity analyses. Findings suggested that the multi-component prevention intervention was cost-effective when compared with usual care. Multi-component prevention interventions for delirium should be considered as a cost-effective health care strategy for medically ill people admitted to hospital. (JL).
Accession NumberCPA-120511001 A
ClassmarkEDC: LD4: LF7: LK2: WEC

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