Cost effectiveness analysis for multi-factorial intervention for elderly inpatients with delirium
Introduction
We evaluated cost effectiveness of multifactorial intervention which is implemented for elderly inpatients with delirium, using electronic medical records.
Professors involved
Sachiko Ohde, saohde@luke.ac.jp
Students involved
Saki Muroya
Collaborators
[Ohde S1, Takekata M2, Takiguchi M2, Namiki C2 , Abe K2, Nishizawa S2, Tanaka M2, Saito N2, Yamada U2, Kajima N2, Masui N2, Takahashi O1,2.
1:St. Luke’s International University, Tokyo, Japan,
2:St. Luke’s International Hospital, Japan.]
Project details
[Introduction: Delirium is a condition which often are seen in elderly inpatients. It causes complicated symptoms such as confusion and agitation that provide a lot of burden to patients, health providers and patients’ family. There are several randomized controlled studies of multifactorial intervention which enable early recover from delirium but its cost-effectiveness is still uncertain. Objective: To assess cost-effectiveness for our multifactorial intervention towards delirium remission, using real-world data. Method: We have implemented three multifactorial intervention at St. Luke’s International Hospital form 2017-2018, which includes 1）team round by specialists of psychosomatic internists and nurse practitioners, 2）establishment of prescription monitoring and 3）Providing rehabilitation program by occupational therapists. We used a real world data to investigate its cost-effectiveness, utilizing Markov model. Result: the multi-factorial intervention was cost-effective when compared to historical data without implementation of interventions. It was associated with ICER of £30,546 using a cost-effectiveness threshold of £50,000 per quality-adjusted life year (QALY). Conclusion: Our real-world data analysis has shown that multi-factorial intervention for delirium was cost-effective among elderly inpatients. Medical health care providers should consider to apply this strategy as a standard care when elderly inpatients caused a delirium complication.]
Grant funding
[MEXT Grant-in-Aid for Young Scientists(B)]
Publications
da Silva Lopes K, Ota E, Shakya P, Dagvadorj A, Balogun OO, Peña-Rosas JP, De-Regil LM, Mori R. Effects of nutrition interventions during pregnancy on low birth weight: an overview of systematic reviews. BMJ Glob Health 2017;0:e000389.