语言非常早期康复 (VERSE) 干预措施的经济评估
J Kim1,2, G Sookram3, E Godecke4,5
1Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia.
Topics in stroke rehabilitation
|July 7, 2023
概括
这项研究发现,对于中风患者的密集性失言症治疗计划并没有显著改善结果,也没有证明与通常护理相比增加的成本是合理的. 需要进一步的研究来确定成本效益.
科学领域:
- 神经科学是一个神经科学.
- 卫生经济学 卫生经济学
- 康复医学 康复医学 康复医学
背景情况:
- 有限的证据证明了脑卒中后的失语治疗的成本效益.
- 了解医疗保健利用率和生产力成本对于患者管理至关重要.
研究的目的:
- 为了估计与不同类型的脑卒中患者的失语治疗相关的成本.
- 为了比较常规护理与重症治疗干预的成本和结果.
主要方法:
- 在澳大利亚和新西兰进行了一项三臂随机对照试验.
- 干预措施包括常规护理,常规护理加,以及结构化的失言症治疗计划 (VERSE).
- 根据医疗保健利用率和生产率估计了成本,结果以失言症严重程度 (WAB-R-AQ) 来衡量.
主要成果:
- 在26周后,在常规护理,常规护理加和VERSE组之间没有发现成本或结果的显著差异.
- 强化疗法 (常规护理加和VERSE) 经常被发现比常规护理更昂贵,效果更差.
结论:
- 在急性护理环境中,强化交付的失言症治疗显示出有限的证据表明,在成本方面,对于所取得的结果是值得的.
- 目前的密集性失言症治疗方法可能不会为中风幸存者提供成本效益的好处.
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