Trial reportPloS one2009
Cost-effectiveness of an intervention to reduce emergency re-admissions to hospital among older patients.
Trial report in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Disentangling organizational levers and economic benefits in transitional care programs: a systematic review and configurational analysis.BMC health services research · 2024Pooled it
- Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022Pooled it
- Multidisciplinary interventions for reducing the avoidable displacement from home of frail older people: a systematic review.BMJ open · 2019Pooled it
- Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission: A Systematic Review and Meta-analysis.JAMA internal medicine · 2017Pooled it
- Risk factors for hospital re-presentation among older adults following fragility fractures: a systematic review and meta-analysis.BMC medicine · 2016Pooled it
- Using QALYs in telehealth evaluations: a systematic review of methodology and transparency.BMC health services research · 2014Pooled it
- Long-Term Impact of a Postdischarge Community Health Worker Intervention on Health Care Costs in a Safety-Net System.Health services research · 2017Trial
- Effectiveness of the cardiac-diabetes transcare program: protocol for a randomised controlled trial.BMC health services research · 2017Trial
- Cost-effectiveness of physical activity programs and services for older adults: a scoping review.Age and ageing · 2023Article
- Derivation and validation of a 90-day unplanned hospital readmission score in older patients discharged form a geriatric ward.European geriatric medicine · 2022Article
- Multimorbidity in chronic disease: impact on health care resources and costs.Risk management and healthcare policy · 2016Review
- Comparative analysis of the expected demands for nursing care services among older people from urban, rural, and institutional environments.Clinical interventions in aging · 2015Article
- Dementia and Hospital Readmission Rates: A Systematic Review.Dementia and geriatric cognitive disorders extraReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective is to estimate the cost-effectiveness of an intervention that reduces hospital re-admission among older people at high risk. A cost-effectiveness model to estimate the costs and health benefits of the intervention was implemented. METHODOLOGY/PRINCIPAL
findingsThe model used data from a randomised controlled trial conducted in an Australian tertiary metropolitan hospital. Participants were acute medical admissions aged >65 years with at least one risk factor for re-admission: multiple comorbidities, impaired functionality, aged >75 years, recent multiple admissions, poor social support, history of depression. The intervention was a comprehensive nursing and physiotherapy assessment and an individually tailored program of exercise strategies and nurse home visits with telephone follow-up; commencing in hospital and continuing following discharge for 24 weeks. The change to cost outcomes, including the costs of implementing the intervention and all subsequent use of health care services, and, the change to health benefits, represented by quality adjusted life years, were estimated for the intervention as compared to existing practice. The mean change to total costs and quality adjusted life years for an average individual over 24 weeks participating in the intervention were: cost savings of $333 (95% Bayesian credible interval $ -1,932:1,282) and 0.118 extra quality adjusted life years (95% Bayesian credible interval 0.1:0.136). The mean net-monetary-benefit per individual for the intervention group compared to the usual care condition was $7,907 (95% Bayesian credible interval $5,959:$9,995) for the 24 week period. CONCLUSIONS/SIGNIFICANCE: The estimation model that describes this intervention predicts cost savings and improved health outcomes. A decision to remain with existing practices causes unnecessary costs and reduced health. Decision makers should consider adopting this program for elderly hospitalised patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.