运动或认知和社会丰富活动的经济评估,以改善中风后的认知
Cassandra Adjetey1,2, Jennifer C Davis1,2,3, Ryan S Falck3,4,5
1Faculty of Management, University of British Columbia, Kelowna, Canada.
JAMA network open
|November 30, 2023
概括
多元组件运动计划显示了改善中风幸存者的认知功能潜在的成本效益. 这项研究发现,运动比平衡和调计划更有效,更昂贵,以提高认知能力.
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:
- 认知障碍影响大约30%的中风幸存者.
- 身体炼和认知/社会丰富可能会提高认知能力,但成本效益尚不清楚.
研究的目的:
- 进行多元组件运动和认知/社会丰富的成本效益和成本效益分析,与平衡和音调计划相比.
- 评估改善慢性中风患者认知功能的干预措施.
主要方法:
- 经济评估使用加拿大医疗保健系统的观点和来自Vitality随机临床试验的数据.
- 患有慢性中风的参与者 (年龄55岁以上) 被随机分为运动,认知/社会丰富或平衡/音调组6个月.
- 成本效益 (每次阿尔茨海默氏病评估尺度-认知-加值变化) 和成本效益 (每次质量调整后的生活年) 是主要措施.
主要成果:
- 运动比对照组在认知改善方面更有效,更昂贵 (增量成本效益比:加拿大 -8823美元).
- 对于这两种干预措施来说,每年质量调整后获得的生命年成本是可以忽视的.
- 平衡和调计划的交付成本最低,而运动组的医疗保健资源利用率最低.
结论:
- 运动证明了在6个月的干预期间改善慢性中风的老年人认知功能的潜在成本效益.
- 需要进一步进行经济评估,以确认长期效益和成本效益.
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