Ontology highlight
ABSTRACT:
Methods: A prospective pre-post cohort study design was used to collect data on costs of program delivery, hospital admission rates and length of stay for the 12?months prior to, and following, the intervention. A Markov decision model was developed to synthesize study data with published literature in order to estimate the cost-effectiveness of the program. Quality adjusted life years (QALYs) were adopted as the measure of effectiveness.
Results: The EDDIE program was associated with a 19% reduction in annual hospital admissions and a 31% reduction in the average length of stay. The cost-effectiveness analysis found the program to be both more effective and less costly than usual care, with 0.06 QALYs gained and $249,000 health system costs saved in a modelled cohort of 96 residents. A probabilistic sensitivity analysis estimated that there was an 86% probability that the program was cost-effective after taking the uncertainty of the model inputs into account.
Conclusions: This study provides promising evidence for the effectiveness and cost-effectiveness of a nurse led, early intervention program in preventing unnecessary hospital admissions within a residential aged care facility. Further research in multi-site randomised studies is needed to confirm the generalisability of these results.
SUBMITTER: Carter HE
PROVIDER: S-EPMC7720399 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Carter Hannah E HE Lee Xing J XJ Dwyer Trudy T O'Neill Barbara B Jeffrey Dee D Doran Christopher M CM Parkinson Lynne L Osborne Sonya R SR Reid-Searl Kerry K Graves Nicholas N
BMC geriatrics 20201207 1
<h4>Background</h4>Residential aged care facility residents experience high rates of hospital admissions which are stressful, costly and often preventable. The EDDIE program is a hospital avoidance initiative designed to enable nursing and care staff to detect, refer and quickly respond to early signals of a deteriorating resident. The program was implemented in a 96-bed residential aged care facility in regional Australia.<h4>Methods</h4>A prospective pre-post cohort study design was used to co ...[more]